卵巢妊娠手术后的妊娠结局。

Pregnancy outcomes after surgical treatment of ovarian pregnancy.

机构信息

Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea.

出版信息

Int J Gynaecol Obstet. 2011 Aug;114(2):97-100. doi: 10.1016/j.ijgo.2011.02.013. Epub 2011 Jun 12.

DOI:10.1016/j.ijgo.2011.02.013

PMID:21669418

Abstract

OBJECTIVE

To investigate pregnancy outcomes subsequent to ovarian pregnancy treated by surgery.

METHODS

A retrospective analysis was conducted of ovarian pregnancies that were treated by surgery at a hospital in Korea between January 1996 and December 2009.

RESULTS

Forty-nine women with ovarian pregnancies (1.6% of all ectopic pregnancies) were treated; 28 of these patients who were followed-up for more than a year were included in the study. The most common risk factor for ovarian pregnancy was endometriosis (42.9%). Accurate diagnosis of ovarian pregnancy was made preoperatively in 7 patients (25%). Of the 28 patients, 16 (57.1%) had subsequent pregnancies: 13 (46.4%) were intrauterine pregnancies and 3 (10.7%) were tubal pregnancies. However, no subsequent ovarian pregnancies occurred. In addition, only 1 patient had secondary infertility after surgery for ovarian pregnancy.

CONCLUSIONS

After an ovarian pregnancy treated by surgery, the outcome of a subsequent pregnancy is reasonable; there is a high rate of successful subsequent pregnancy and a low rate of subsequent ectopic pregnancy or of infertility.

摘要

目的

探讨手术治疗卵巢妊娠的妊娠结局。

方法

对韩国一家医院 1996 年 1 月至 2009 年 12 月期间手术治疗的卵巢妊娠病例进行回顾性分析。

结果

49 例卵巢妊娠患者（占所有异位妊娠的 1.6%）接受了治疗；其中 28 例随访时间超过 1 年的患者纳入本研究。卵巢妊娠最常见的危险因素是子宫内膜异位症（42.9%）。术前准确诊断卵巢妊娠的患者有 7 例（25%）。28 例患者中，16 例（57.1%）有后续妊娠：13 例（46.4%）为宫内妊娠，3 例（10.7%）为输卵管妊娠。然而，没有再次发生卵巢妊娠。此外，仅有 1 例患者因卵巢妊娠手术后出现继发性不孕。