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目的:探讨特殊部位异位妊娠的诊断及治疗方法。方法:回顾分析2004年10月～2008年12月间收治的53例特殊部位异位妊娠患者的诊治经过。结果:53例中输卵管间质部妊娠22例、宫角妊娠11例、输卵管残端妊娠5例、卵巢妊娠10例、宫颈妊娠3例、腹腔妊娠2例。术前定位诊断与手术探查结果符合率仅30.19%。53例中行腹腔镜手术治疗34例、开腹手术治疗9例、子宫动脉栓塞术+B超定位下清宫术3例、药物治疗+B超定位下清宫术7例,全组均痊愈出院无手术相关并发症。结论:特殊部位异位妊娠术前定位诊断率低,应引进高度重视;治疗方法可根据异位妊娠部位相应选择腹腔镜下手术、动脉栓塞、B超定位下清宫术、药物治疗或上述方法的组合。
Objective: To investigate the diagnosis and treatment of ectopic pregnancy in special part. Methods: The diagnosis and treatment of 53 patients with ectopic pregnancy who underwent special treatment from October 2004 to December 2008 were retrospectively analyzed. Results: In 53 cases, 22 cases of tubal interstitial pregnancy, 11 cases of cornual horn pregnancy, 5 cases of tubal stump pregnancy, 10 cases of ovarian pregnancy, 3 cases of cervical pregnancy and 2 cases of intraperitoneal pregnancy. The coincidence rate of preoperative localization diagnosis and surgical exploration was only 30.19%. 53 cases of laparoscopic surgery in 34 cases, laparotomy in 9 cases, uterine artery embolization + B-positioning under curettage in 3 cases, drug therapy + B-positioning under curettage in 7 cases, all were cured without surgery Related complications. Conclusion: The preoperative diagnosis of ectopic pregnancy in special part has a low diagnostic rate and should be highly valued. The treatment can be based on the corresponding choice of ectopic pregnancy, laparoscopic surgery, arterial embolization, biopsy under cesarean section, drug treatment or the above method combination.