卵巢妊娠的术前诊断线索：卵巢妊娠和输卵管妊娠女性的回顾性病历审查
Preoperative diagnostic clues to ovarian pregnancy: retrospective chart review of women with ovarian and tubal pregnancy.
作者信息
Seo Mi Rang, Choi Joong Sub, Bae Jaeman, Lee Won Moo, Eom Jeong Min, Lee Eunhyun, Keum Jihyun
机构信息
Divisions of Gynecologic Oncology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, Seoul, Korea.
出版信息
Obstet Gynecol Sci. 2017 Sep;60(5):462-468. doi: 10.5468/ogs.2017.60.5.462. Epub 2017 Sep 18.
OBJECTIVE
To analyze the preoperative diagnostic clues to ovarian pregnancy (OP).
METHODS
This study conducted a retrospective chart review of 23 patients with OP and 46 patients with tubal pregnancy (TP) from October 1, 2003 to September 31, 2016 in Hanyang University Hospital.
RESULTS
There were no significant differences in demographic and clinical characteristics between the two groups. The presence of an ectopic gestational sac and hemoperitoneum was significantly higher in the TP group (13.0% vs. 95.7%, =0.000; 13.0% vs. 54.3%, =0.001, respectively) in preoperative ultrasonogram. The OP group had more ruptured ectopic gestational sacs than the TP group (73.9% vs. 45.7%, =0.039) in surgical findings.
CONCLUSION
For the patients in whom a gestational sac is not detected in the uterus or the fallopian tubes, it is important to be aware of the possibility of OP and rupture of an ovarian gestational sac to promote early diagnosis and surgical intervention.
目的
分析卵巢妊娠（OP）的术前诊断线索。
方法
本研究对2003年10月1日至2016年9月31日在汉阳大学医院就诊的23例卵巢妊娠患者和46例输卵管妊娠（TP）患者进行了回顾性病历审查。
结果
两组患者的人口统计学和临床特征无显著差异。术前超声检查显示，输卵管妊娠组异位妊娠囊和腹腔积血的发生率显著高于卵巢妊娠组（分别为13.0%对95.7%，P=0.000；13.0%对54.3%，P=0.001）。手术结果显示，卵巢妊娠组破裂的异位妊娠囊比输卵管妊娠组更多（73.9%对45.7%，P=0.039）。
结论
对于子宫或输卵管内未检测到妊娠囊的患者，认识到卵巢妊娠及卵巢妊娠囊破裂的可能性对于促进早期诊断和手术干预很重要。
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