Ectopic Pregnancy: A Statistical Review of 360 Cases

In a statistical analysis of 360 cases of ectopic pregnancy admitted to the Montreal General Hospital over a 20-year period ending December 1964, ectopic gestation occurred once in every 83 admissions to the gynecological service. This incidence has remained constant over the years. Only one out of four patients had had more than one child and 30% of the patients had absolute or relative infertility. Diagnosis was delayed or not made in 58 patients. There was evidence that neurogenic factors play a role in the etiology of ectopic gestation. Ten per cent of the patients had had a previous operation for the same condition. Symptomatology is variable and the possibility of ectopic pregnancy must never be overlooked in a woman of child-bearing age. Once the diagnosis is made the treatment is early operation. The morbidity rate in this series was 28% and there was one death.     

子宫特殊部位妊娠18例分析

目的：探讨子宫特殊部位妊娠的临床诊断及处理。方法：回顾性分析2005年7月至2010年12月我院收治的18例子宫特殊部位妊娠患者的临床表现、诊断、处理及预后。结果：宫颈妊娠6例、宫角妊娠6例、残角子宫妊娠2例、子宫剖宫产瘢痕处妊娠4例。宫颈妊娠通过子宫动脉介入栓塞后清宫术治愈;宫角妊娠经MTX保守治疗后在超声或官腔镜引导下清宫术痊愈。残角子宫妊娠均行残角子宫切除术治愈。子宫剖宫产瘢痕处妊娠根据分型分别行超声引导下清宫＋水囊压迫、局部注射MTX保守治疗治愈。结论：子宫特殊部位妊娠病情凶险,临床表现各异,但有其特异性,超声辅助检查有助于早期诊断,MTX、子宫动脉介入栓塞治疗后刮宫是有效治疗手段。     

子宫特殊部位妊娠18 例分析

目的:探讨子宫特殊部位妊娠的临床诊断及处理。方法:回顾性分析2005年7月至2010年12月我院收治的18例子宫特殊部位妊娠患者的临床表现、诊断、处理及预后。结果:宫颈妊娠6例、宫角妊娠6例、残角子宫妊娠2例、子宫剖宫产瘢痕处妊娠4例。宫颈妊娠通过子宫动脉介入栓塞后清宫术治愈;宫角妊娠经MTX保守治疗后在超声或宫腔镜引导下清宫术痊愈。残角子宫妊娠均行残角子宫切除术治愈。子宫剖宫产瘢痕处妊娠根据分型分别行超声引导下清宫+水囊压迫、局部注射MTX保守治疗治愈。结论:子宫特殊部位妊娠病情凶险,临床表现各异,但有其特异性,超声辅助检查有助于早期诊断,MTX、子宫动脉介入栓塞治疗后刮宫是有效治疗手段。