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原发性卵巢妊娠及其处理

Primary ovarian pregnancy and its management.

作者信息

Scutiero Gennaro, Di Gioia Pietro, Spada Alessandra, Greco Pantaleo

机构信息

Institute of Obstetrics and Gynecology, Department of Surgical Sciences, University of Foggia, Viale L. Pinto, Foggia, Italy.

出版信息

JSLS. 2012 Jul-Sep;16(3):492-4. doi: 10.4293/108680812X13462882736385.

Abstract

Primary ovarian ectopic pregnancy, i.e., the implantation of the gestational sac in the ovary, is one of the rarest forms of ectopic pregnancy. Its incidence after natural conception ranges from 1 in 2000 to 1 in 60 000 deliveries and accounts for 3% of all ectopic pregnancies. The diagnosis is intricate and based on surgical and histopathological observations. The management is, in spite of medical improvement, based on surgery. We present a case of a 10-wk ectopic ovarian pregnancy managed laparoscopically, and we describe, through a review of the literature, the specific symptomatology, diagnostic criteria, and treatment of this particular pathology.

摘要

原发性卵巢异位妊娠,即妊娠囊在卵巢内着床,是异位妊娠最罕见的形式之一。自然受孕后其发生率为每2000至60000次分娩中有1例,占所有异位妊娠的3%。诊断复杂,基于手术和组织病理学观察。尽管医学有所进步,但治疗仍以手术为主。我们报告一例经腹腔镜治疗的10周卵巢异位妊娠病例,并通过文献回顾描述这种特殊病理情况的具体症状、诊断标准和治疗方法。

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本文引用的文献

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Three-dimensional sonographic diagnosis of ovarian pregnancy.
Ultrasound Obstet Gynecol. 2005 Jul;26(1):102-4. doi: 10.1002/uog.1933.
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The ultrasonographic appearance of ovarian ectopic pregnancies.卵巢异位妊娠的超声表现。
Obstet Gynecol. 2005 Jan;105(1):42-5. doi: 10.1097/01.AOG.0000148271.27446.30.
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Ovarian pregnancy.卵巢妊娠
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