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目的:探讨卵巢妊娠(OP)的发病及诊治特点。方法:回顾性分析我院20余年来收治的63例的原发性OP的临床资料。结果:1990-2000年与2000-2016年两阶段相比,OP占异位妊娠的比例(1.9%:2.5%)上升趋势显著(P<0.05);本组OP使用宫内节育器(IUD)者占19.4%,与输卵管妊娠(16.7%)相比,IUD的放置是OP的高危因素;OP停经发生率为52.4%;腹痛发生率92.1%;超声诊断OP敏感度56.1%,特异性98.9%,阳性预测值53.5%,阴性预测值99.0%,总符合率98.0%;开腹手术时间显著长于腹腔镜手术(75.8 min vs 40.2 min,P<0.05)。结论 :OP的发生率有上升趋势,腹痛及出血性休克发生比输卵管妊娠早[A1];腹腔镜适用于早期OP的诊断与治疗。
Objective: To investigate the incidence and diagnosis and treatment of ovarian pregnancy (OP). Methods: The clinical data of 63 cases of primary OP treated in our hospital for more than 20 years were retrospectively analyzed. Results: The ratio of OP to ectopic pregnancy (1.9% vs 2.5%) increased significantly from 1990 to 2000 (P <0.05) compared with the two stages from 2000 to 2016. The IUD, (19.4%). Compared with tubal pregnancy (16.7%), placement of IUD was a risk factor for OP. The incidence of OP menopause was 52.4%, the incidence of abdominal pain was 92.1%, the sensitivity and specificity of ultrasonic diagnosis of OP were 56.1% and 98.9% , The positive predictive value was 53.5%, the negative predictive value was 99.0% and the total coincidence rate was 98.0%. The time of laparotomy was significantly longer than that of laparoscopic operation (75.8 min vs 40.2 min, P <0.05). Conclusion: The incidence of OP is on the rise. Abdominal pain and hemorrhagic shock occur earlier than tubal pregnancy [A1]. Laparoscopy is suitable for diagnosis and treatment of early OP.