论文部分内容阅读
作者回顾性分析4年来(1982～1986)处理的卵巢妊娠,其中10例完全符合Spiegelberg(1878)所提出的诊断标准:输卵管包括卵巢伞完整并与卵巢分离,妊娠位于正常卵巢,该卵巢以卵巢韧带与子宫相连以及标本中必须有卵巢组织附着于妊娠囊。此组卵巢妊娠发生率为1/7000次分娩,占异位妊娠的1%。患者平均年龄26.5岁,平均产次3.2次,均为育龄妇女。7例患者曾用或正在用IUD,故可视IUD为卵巢妊娠的危险因素。卵巢妊娠的诊断除注意闭经史、阴道少量出血及腹痛外,作者提倡在急诊室设立快速尿定性酶免疫测定(EIA)妊娠试验(本组10例均阳性)及无损伤的超声检查,特别是阴道探头超声成像技术
The authors retrospectively analyzed ovarian pregnancies treated for four years (1982-1986). Ten of them were completely consistent with the diagnostic criteria proposed by Spiegelberg (1878): the fallopian tubes included an intact ovary and were isolated from the ovary, and the pregnancy was in a normal ovary that was ovarian Ligaments connected with the uterus and the specimen must have ovarian tissue attached to the gestational sac. This group of ovarian pregnancy incidence of 1/7 000 births, accounting for 1% of ectopic pregnancy. The average age of patients was 26.5 years, with an average of 3.2 times, all of whom were women of childbearing age. Seven patients used or are using IUD, so visual IUD risk factors for ovarian pregnancy. In addition to the diagnosis of ovarian pregnancy, attention to the history of amenorrhea, a small amount of vaginal bleeding and abdominal pain, the authors advocate in the emergency room to establish rapid urine qualitative enzyme immunoassay (EIA) pregnancy test (10 patients were positive in this group) and non-invasive ultrasound examination, especially Vaginal probe ultrasound imaging technology