Stöger H, Kesztele R
Gynäkologisch-geburtshilflichen Abteilung, a.ö. Krankenhauses der Stadt Linz.
Wien Med Wochenschr. 1990 Mar 15;140(5):133-40.
2 groups of patients with ectopic pregnancy (376 cases from 1947 to 1966 and 81 from 1982 to 1988) are compared. The importance of evaluation of HCG, sonography and pelviscopy, which was only available in the 2nd group, is pointed out. The morbidity by collapse of circulation could be improved. Sonography and beta-HCG serum levels each are quite sensitive but not very specific. Together they give good information. The highest specificity shows the pelviscopy, but it is an invasive method and requires anesthesia. By early diagnosis of the ectopic pregnancy in the 2nd group 50% of the patients could be treated by an operation with conservative of the fallopian tube.
对两组异位妊娠患者（1947年至1966年的376例和1982年至1988年的81例）进行了比较。指出了评估人绒毛膜促性腺激素（HCG）、超声检查和盆腔镜检查的重要性，盆腔镜检查仅在第二组中可用。循环衰竭的发病率有所改善。超声检查和β-HCG血清水平各自都相当敏感，但特异性不是很强。两者结合可提供良好的信息。盆腔镜检查的特异性最高，但它是一种侵入性方法，需要麻醉。通过对第二组异位妊娠的早期诊断，50%的患者可以通过保留输卵管的手术进行治疗。
