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罕见部位的异位妊娠。

Ectopic pregnancies in unusual locations.

作者信息

Molinaro Thomas A, Barnhart Kurt T

机构信息

Department of Obstetrics and Gynecology, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA.

出版信息

Semin Reprod Med. 2007 Mar;25(2):123-30. doi: 10.1055/s-2007-970051.

DOI:10.1055/s-2007-970051
PMID:17377899
Abstract

The majority of ectopic pregnancies are located within the fallopian tube. Nevertheless, pregnancies have been reported to implant in the cervix, ovary, interstitial tubal segment, and at various intra-abdominal sites. The diagnosis and treatment of these unusual implantation sites presents both diagnostic and therapeutic dilemmas. The majority of data regarding these unusual ectopic pregnancies come largely from case reports and anecdotal information. In the past, treatment of these ectopic pregnancies used various combinations of surgery and/or systemic and local chemotherapy. In this article, we attempt to summarize the current data regarding diagnosis and optimal treatment of these unusual ectopic pregnancies.

摘要

大多数异位妊娠发生在输卵管内。然而,也有报道称妊娠可着床于宫颈、卵巢、输卵管间质部以及腹腔内的不同部位。这些异常着床部位的诊断和治疗都存在诊断和治疗方面的难题。关于这些不常见异位妊娠的大多数数据主要来自病例报告和传闻信息。过去,这些异位妊娠的治疗采用了手术和/或全身及局部化疗的各种组合。在本文中,我们试图总结有关这些不常见异位妊娠的诊断和最佳治疗的当前数据。

相似文献

1
Ectopic pregnancies in unusual locations.罕见部位的异位妊娠。
Semin Reprod Med. 2007 Mar;25(2):123-30. doi: 10.1055/s-2007-970051.
2
Ectopic pregnancy not within the (distal) fallopian tube: etiology, diagnosis, and treatment.异位妊娠不在(远端)输卵管内:病因、诊断和治疗。
Am J Obstet Gynecol. 2012 Apr;206(4):289-99. doi: 10.1016/j.ajog.2011.10.857. Epub 2011 Oct 20.
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Ectopic pregnancy in Jos Northern Nigeria: prevalence and impact on subsequent fertility.尼日利亚北部乔斯的异位妊娠:患病率及其对后续生育能力的影响。
Niger J Med. 2009 Jan-Mar;18(1):35-8.
4
[Fallopian tube bilharziasis caused by Schistosoma intercalatum disclosed by hemoperitoneum].[腹腔积血揭示的间插血吸虫所致输卵管血吸虫病]
Arch Anat Cytol Pathol. 1990;38(5-6):208-11.
5
Surgical treatment of ectopic pregnancy.异位妊娠的外科治疗。
Semin Reprod Med. 2007 Mar;25(2):117-22. doi: 10.1055/s-2007-970050.
6
Non-tubal Ectopic Pregnancies: Overview and Treatment via Local Injection.非输卵管异位妊娠:局部注射治疗概述。
J Minim Invasive Gynecol. 2018 Feb;25(2):287-296. doi: 10.1016/j.jmig.2017.07.008. Epub 2017 Jul 20.
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Uncommon Implantation Sites of Ectopic Pregnancy: Thinking beyond the Complex Adnexal Mass.异位妊娠的罕见着床部位:超越复杂附件包块的思考
Radiographics. 2015 May-Jun;35(3):946-59. doi: 10.1148/rg.2015140202. Epub 2015 Apr 10.
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[Special forms of ectopic pregnancy].[异位妊娠的特殊形式]
Zentralbl Gynakol. 1985;107(7):393-402.
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[Conservative, laparoscopic and medical treatment of ectopic pregnancy].异位妊娠的保守治疗、腹腔镜治疗及药物治疗
Ginecol Obstet Mex. 2007 Sep;75(9):539-48.
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Ectopic pregnancy.异位妊娠
Afr Health. 1990 Nov;13(1):33, 35.

引用本文的文献

1
Impact of Salpingotomy on Intrauterine Pregnancy and Recurrent Ectopic Pregnancy Rates: A Meta-Analysis.输卵管切开术对宫内妊娠和复发性异位妊娠率的影响:一项荟萃分析。
Cureus. 2025 Apr 19;17(4):e82604. doi: 10.7759/cureus.82604. eCollection 2025 Apr.
2
Challenges in Diagnosing Advanced Abdominal Ectopic Pregnancy in Low-Resource Settings: A Case from North Western Nigeria.资源匮乏地区晚期腹腔异位妊娠的诊断挑战:来自尼日利亚西北部的一个病例
Niger Med J. 2025 Jan 10;65(6):1185-1189. doi: 10.60787/nmj.v65i6.439. eCollection 2024 Nov-Dec.
3
A case report of hemorrhagic shock from rare ruptured intertitial pregnancy.
罕见的间质部妊娠破裂致失血性休克1例报告
Ann Med Surg (Lond). 2024 Jul 18;86(9):5492-5496. doi: 10.1097/MS9.0000000000002194. eCollection 2024 Sep.
4
Intramural pregnancy at 6 and 8 weeks gestation with no predisposing factors: As two uncommon case reports.妊娠6周和8周时无诱发因素的壁内妊娠:两例罕见病例报告
Radiol Case Rep. 2024 Mar 26;19(6):2390-2394. doi: 10.1016/j.radcr.2024.02.092. eCollection 2024 Jun.
5
Challenges and perspectives of abdominal pregnancy in a resource-limited setting: A case series.资源有限环境下腹腔妊娠的挑战与展望:病例系列
Int J Surg Case Rep. 2024 Feb;115:109282. doi: 10.1016/j.ijscr.2024.109282. Epub 2024 Jan 20.
6
Interstitial ectopic pregnancy successfully treated with methotrexate.甲氨蝶呤成功治疗间质部异位妊娠。
BMJ Case Rep. 2023 Apr 26;16(4):e252588. doi: 10.1136/bcr-2022-252588.
7
Ectopic Pregnancy in an Adolescent: A Case Report and Review of Literature.青少年异位妊娠:一例病例报告及文献综述
Cureus. 2022 Dec 5;14(12):e32220. doi: 10.7759/cureus.32220. eCollection 2022 Dec.
8
A Case Report of Massive Intraperitoneal Hemorrhage from Rare Cornual Pregnancy.一例罕见宫角妊娠导致大量腹腔内出血的病例报告。
Clin Pract Cases Emerg Med. 2022 Feb;6(1):41-44. doi: 10.5811/cpcem.2021.10.54388.
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[Ovarian pregnancy case study and literature review].[卵巢妊娠病例研究及文献综述]
Pan Afr Med J. 2021 Dec 7;40:208. doi: 10.11604/pamj.2021.40.208.32011. eCollection 2021.
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[Not Available].[无可用内容]。
CMAJ. 2020 Dec 14;192(50):E1830. doi: 10.1503/cmaj.200181-f.