Ehrenberg-Buchner Stacey, Sandadi Samith, Moawad Nashat S, Pinkerton Jay S, Hurd William W
Departments of Obstetrics and Gynecology, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
Clin Obstet Gynecol. 2009 Sep;52(3):372-9. doi: 10.1097/GRF.0b013e3181b0be24.
Ectopic pregnancy is a common condition with the immediate risk of life-threatening hemorrhage and subsequent risks of infertility and recurrence. Despite remarkable advances in diagnosis and treatment, ectopic pregnancies account for 9% of all maternal deaths. Early diagnosis has led to the development of innovative surgical and nonsurgical options. The choice of treatment, including expectant, medical, and surgical approaches, depends on ectopic location, symptoms, gestational age, and future fertility desires. Goals are to make the diagnosis of ectopic pregnancy early and provide the most effective and least invasive procedure while sparing future fertility when desired.
异位妊娠是一种常见病症,存在危及生命的出血风险,以及后续不孕和复发风险。尽管在诊断和治疗方面取得了显著进展,但异位妊娠仍占所有孕产妇死亡病例的9%。早期诊断促使了创新手术和非手术治疗方案的发展。治疗方案的选择,包括期待疗法、药物治疗和手术治疗,取决于异位妊娠的位置、症状、孕周以及未来生育意愿。目标是尽早诊断异位妊娠,并在期望保留未来生育能力的情况下,提供最有效且创伤最小的治疗方法。