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目的:探讨卵巢妊娠的临床特点、诊断及治疗方法。方法:回顾性分析我院收治的95例卵巢妊娠患者的临床资料。结果:OP占同期异位妊娠1.79%。其中68.4%患者有人工流产史,6.3%放置宫内节育器。87.4%患者有腹痛症状,84.2%患者有停经史,51.6%出现阴道流血。无术前确诊,所有病例均行腹腔镜手术。结论:OP病因未明,无典型临床表现,充分结合血β-HCG及B超检查可以提高术前诊断率。首选腹腔镜卵巢楔形切除术或病灶切除,术后再次妊娠为宫内妊娠率高。
Objective: To investigate the clinical features, diagnosis and treatment of ovarian pregnancy. Methods: A retrospective analysis of 95 cases of ovarian pregnancy admitted to our hospital clinical data. Results: OP accounted for 1.79% of ectopic pregnancy in the same period. Among them, 68.4% of patients had history of artificial abortion and 6.3% placed IUD. 87.4% had abdominal pain, 84.2% had menopause, and 51.6% had vaginal bleeding. No preoperative diagnosis, all cases underwent laparoscopic surgery. Conclusion: The etiology of OP is unknown and there is no typical clinical manifestations. The preoperative diagnosis rate can be improved by fully combining the blood β-HCG and B-ultrasound. Preferred laparoscopic ovarian wedge resection or focal resection, postoperative pregnancy again for intrauterine pregnancy rate.