Obstet Gynecol. 2018 Feb;131(2):e65-e77. doi: 10.1097/AOG.0000000000002464.
Ectopic pregnancy is defined as a pregnancy that occurs outside of the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical emergency that requires prompt surgical intervention. The purpose of this document is to review information on the current understanding of tubal ectopic pregnancy and to provide guidelines for timely diagnosis and management that are consistent with the best available scientific evidence.
宫外孕是指妊娠发生在子宫腔以外的部位。最常见的宫外孕部位是输卵管。大多数早期发现的输卵管妊娠可以通过微创手术或甲氨蝶呤药物治疗成功治疗。然而，不稳定的输卵管妊娠是一种医疗紧急情况，需要立即进行手术干预。本文旨在回顾当前对输卵管妊娠的认识，并提供与最佳现有科学证据一致的及时诊断和管理指南。
