Mbura J S, Mgaya H N
Int J Gynaecol Obstet. 1986 Jun;24(3):169-76. doi: 10.1016/0020-7292(86)90094-9.
A prospective study was conducted at Muhimbili Medical Centre (MMC) over a 2-year period on 16 patients with advanced abdominocyesis. The incidence of 1 in 3259 deliveries was higher than that of previous years. Infertility prior to index pregnancy was a significant antecedent factor (P less than 0.001). The most consistent symptom both in early and late pregnancy was abdominal pain. Difficulty in fetal palpation and abnormal lies were the most significant signs. The sensitivity of clinical suspicion was 68%, ultrasound 85% and X-ray diagnosis 93%. Sepsis was the leading maternal complication, especially when the placenta was left in situ. Perinatal mortality was 87.5% and maternal mortality was 6.4%. Abdominal pregnancy remains a diagnostic challenge and certain aspects of fetal mortality are ill-understood. Early diagnosis of abdominal pregnancy can be improved upon by more detailed history taking, a high index of suspicion and meticulous interpretation of sonographic and radiological signs. It is suggested that the placenta be removed except in the rarest trying cases and that pregnancy be terminated on diagnosis.
在穆希姆比利医疗中心（MMC）对16例晚期腹腔妊娠患者进行了为期2年的前瞻性研究。在3259例分娩中发生率为1例，高于往年。索引妊娠前的不孕是一个重要的前期因素（P<0.001）。妊娠早期和晚期最一致的症状是腹痛。触诊胎儿困难和胎位异常是最显著的体征。临床怀疑的敏感性为68%，超声为85%，X线诊断为93%。败血症是主要的孕产妇并发症，尤其是胎盘留在原位时。围产儿死亡率为87.5%，孕产妇死亡率为6.4%。腹腔妊娠仍然是一个诊断难题，胎儿死亡的某些方面尚不清楚。通过更详细的病史采集、高度的怀疑指数以及对超声和放射学征象的细致解读，可以改善腹腔妊娠的早期诊断。建议除了极罕见的棘手病例外，应取出胎盘，并在诊断时终止妊娠。
