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目的探讨卵巢妊娠的病因、临床表现及诊治特点。方法对北京市海淀区妇幼保健院2000-01-2010-12诊治的23例卵巢妊娠病例进行回顾性分析。结果卵巢妊娠占异位妊娠的0.49%,临床最主要症状是腹痛,占91.30%,73.91%有停经史,52.17%有阴道流血。结论卵巢妊娠的病因可能与人工流产、盆腔炎症等有关。因临床表现不典型,术前很难确诊。治疗以手术为主。
Objective To investigate the etiology, clinical manifestations and diagnosis and treatment of ovarian pregnancy. Methods A retrospective analysis was performed on 23 cases of ovarian pregnancy diagnosed and treated by the Haidian District Maternal and Child Health Hospital of Beijing from January 2000 to October 2010. Results Ovarian pregnancy accounted for 0.49% of ectopic pregnancy, the main clinical symptom was abdominal pain, accounting for 91.30%, 73.91% had menopause, 52.17% had vaginal bleeding. Conclusion The etiology of ovarian pregnancy may be associated with induced abortion and pelvic inflammatory disease. Due to clinical manifestations atypical preoperative difficult to diagnose. The main treatment is surgery.