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目的探讨卵巢妊娠的临床特点、诊断及治疗。方法对45例术后病理确诊的卵巢妊娠病例进行回顾性分析。结果出现腹痛症状18例,出现阴道流血症状27例,有停经史36例。临床出现休克症状者9例。术前诊断卵巢妊娠者仅9例。行开腹手术14例,腹腔镜手术31例。一侧附件切除3例,行卵巢部分切除42例。术中发现盆腔炎症者11例,子宫内膜异位病灶7例。结论卵巢妊娠容易误诊、,应结合辅助检查进行确诊;腹腔镜手术是治疗卵巢妊娠最好的方法。盆腔炎症和子宫内膜异位症是卵巢妊娠的主要原因。
Objective To investigate the clinical features, diagnosis and treatment of ovarian pregnancy. Methods 45 cases of pathologically confirmed cases of ovarian pregnancy were retrospectively analyzed. Results showed abdominal pain in 18 cases, 27 cases of vaginal bleeding, history of menopause in 36 cases. 9 cases of clinical symptoms of shock. Preoperative diagnosis of ovarian pregnancy in only 9 cases. Laparotomy in 14 cases, laparoscopic surgery in 31 cases. One side of the attachment resection in 3 cases, 42 cases of ovarian partial resection. Intraoperative findings of pelvic inflammatory disease in 11 cases, endometriosis in 7 cases. Conclusions Ovarian pregnancy is easily misdiagnosed and should be diagnosed with ancillary examination. Laparoscopic surgery is the best method for the treatment of ovarian pregnancy. Pelvic inflammatory disease and endometriosis are the major causes of ovarian pregnancy.