腹腔妊娠的诊断及处理原则

Diagnosis and Principle of Treatment on Abdominal Pregnancy

目的:探讨腹腔妊娠的诊断和处理原则。方法:对1980年以来中文文献报告的腹腔妊娠病例进行综合报道。结果:腹腔妊娠的发病率为1∶10860次分娩,常见临床特征为早孕期腹痛史(占68.57%)、早孕期后反复腹痛不适(占71.70%)和胎位异常(占62.96%)。术前诊断率为34.29%。围产儿死亡率27.59%,本组有1例产妇死亡。18.75%的病例手术时将胎盘遗留在腹腔。结论:腹腔妊娠是一种严重的和少见的异位妊娠,及时诊断和正确处理可降低孕产妇和围产儿死亡率。

Objective:To evaluate the diagnosis and treatment of abdominal pregnancy. Methods:70 cases Chinese literature were reviewed. Results : The incidence of abdominal pregnancy is 10860 delivery. The clinical characteristic of abdominal pregnancy are first trimester low abdominal pain (68.75%),second and/or third trimester abdominal pain(71.70%) ,and abnormal position (62.96%) .The correct diagnosis rate before operation is 34.29% .The perinatal mortality is 27.59% .There was one maternal death in this series. 18.75% of cases require to left placenta in abdominal cavity. Conclusion :Abdominal pregnancy is a rare and severe ectopic pregnancy. A correct diagnosis and treatment may decrease maternal and perinatal mortality.