摘要
异位妊娠是妇科常见急腹症之一,随着妇科炎症、性传播疾病、宫腔操作和剖宫产率的不断攀升,特殊部位异位妊娠的发病率也在逐年增加。特殊部位异位妊娠包括子宫瘢痕、卵巢、残角子宫、子宫颈及腹腔等少见部位的异位妊娠。临床表现缺乏特异性、体征不典型,故早期诊断困难,极易误诊,严重威胁患者的生命。随着专科医生对异位妊娠的警惕性不断提高,超声对异位妊娠诊断依据的不断规范及患者对优生优育知识认知的不断深入,特殊部位异位妊娠给患者造成的威胁也在逐年减少。特殊部位异位妊娠除有停经、腹痛、阴道出血三大临床表现外,还各有特点。重视其临床表现及各自特点,早期诊断、及时治疗是妇产科临床医生及全科医院急症科医生面对的重要课题。
Ectopic pregnancy is a common gynecologic acute abdominal disease, and along with the increase of gynecological inflammation, sexual transmitted disease, uterine cavity operation and caesarean section, the incidence of special ectopic pregnancy （SEP） is increasing over past several years. SEP includes caesarean scar pregnancy, ovarian pregnancy, rudimentary uterine horn pregnancy,cervical pregnancy and abdominal pregnancy. Some ectopie pregnancies are especially difficult for early diagnosis and have the risk of mis diagnosis, thus becoming life-threatening, because they have generally few apparent clinical features and signs which, if any, are not typical. With the application of ultrasonic skills within the diagnosis of pregnancy and the widely acceptance of the awareness of bearing and rearing better children, the threats of ectopic pregnancy is reducing year by year. The three major clinical features are menopause, abdominal pain, and vaginal bleeding, and different sort of SEP has its typical features each. It is an urgent issue for gynecological surgeons and emergency department of general hospital that the typical features of SEP ,early diagnosis and timely treatment be emphasized.
出处
《国际妇产科学杂志》
CAS
2013年第6期541-544,554,共5页
Journal of International Obstetrics and Gynecology
关键词
妊娠
异位
超声检查
甲氨蝶呤
药物疗法
宫腔镜
腹腔镜
栓塞
治疗性
Pregnaney,ectopic
Uhrasonography
Methotrexate
Drug therapy
Hysteroscopes
Laparoscopes
Embolization, therapeutic
