摘要
异位妊娠是指受精卵在子宫以外的器官或组织中着床发育。肝脏异位妊娠作为一种罕见的临床疾病,近年来病例报道逐渐增多,其发病机制尚未明确。临床症状主要表现为右上腹痛、闭经、急性腹膜炎和休克等,组织病理特征主要以绒毛膜绒毛和滋养细胞侵入肝实质为主。升高的血β-人绒毛膜促性腺激素(β-human chorionic gonadotropin,β-HCG)和影像学检查对诊断有较大帮助。治疗则以剖腹探查取出胎儿为主要治疗措施。现对肝脏异位妊娠诊疗现状作一概述。
Ectopic pregnancy refers to the development of fertilized eggs in organs or tissues other than the uterus. As a rare clinical disease,liver ectopic pregnancy is increasing gradually in recent years. Its pathogenesis is not yet clear.The main clinical symptoms were right upper abdominal pain,amenorrhea,acute peritonitis and shock. The main pathological features were invasion of liver parenchyma by chorionic villi and trophoblast cells. Elevated blood β-human chorionic gonadotropin（ β-HCG） and imaging findings are helpful in the diagnosis. The treatment is to take the fetus out of the laparotomy as the main treatment measure. The current situation of diagnosis and treatment liver ectopic pregnancy was summarized.
作者
王继才
苏志雷
刘志发
姜兴明
邰升
WANG Jicai;SU Zhilei;LIU Zhifa;JIANG Xingming;TAI Sheng(Department of Hepatopancreatobiliary Surgery,the Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)
出处
《胃肠病学和肝病学杂志》
CAS
2018年第7期829-831,共3页
Chinese Journal of Gastroenterology and Hepatology
基金
吴阶平医学基金会临床科研专项资助基金(320.6750.1245)
国家自然科学基金(81602088)
黑龙江省卫生计生委科研课题(2016-049)
黑龙江省博士后资助课题(LBH-Z16096)
哈尔滨医科大学创新科学研究基金(2016LCZX09)
关键词
肝脏妊娠
诊断
治疗
Liver pregnancy
Diagnosis
Treatment
