卵巢妊娠26例临床分析

Clinical Analysis of 26 Cases of Ovarian Pregnancy

目的分析昆明医科大学第一附属医院妇科住院的26例卵巢妊娠病例特征、临床表现、诊治特点、风险因素.方法对2003年1月至2012年4月在昆明医科大学第一附属医院妇科住院的卵巢妊娠病例进行回顾性分析.结果卵巢妊娠的发生率约为0.886%;平均年龄为29.9岁,平均孕产次为2.7次,临床表现主要为腹痛(100%);超声检查盆腹腔积液;96.2%卵巢增大88.5%;治疗方式仍然以手术为主;最常见的危险因素为宫腔或盆腔手术操作史.结论卵巢妊娠是一种少见而且难以诊断的疾病,卵巢妊娠的病因是多方面的,治疗以卵巢楔形切除或胚胎清除后卵巢修补术为主.

Objective To analysis the characteristics,clinical manifestations,diagnosis,treatment and risk factors of 26 patients with ovarian pregnancy who were treated in our hospital.Method We retrospectively reviewed the data of 26 cases with ovarian pregnancy from January 2003 to April 2012 in our hospital.Results During the study period,the incidence of ovarian pregnancy was about 0.886%;average age was 29.9 years;average parity was 2.7.The main clinical manifestation was abdominal pain（100%）,the most common ultrasound results were abdominal cavity effusion（96.2%）and ovarian enlargement（88.5%）.Operation was the maijor treatment way,and the most common risk factors were uterine or pelvic surgical operation history.Conclusion Ovarian pregnancy is a rare disease which is difficult to diagnose,the causes of ovarian pregnancy are various,ovarian wedge resection or embryos removal of the ovaries suture primarily are the major treatment ways.