3例少见异位妊娠的病例分析并文献回顾

目的:探讨少见异位妊娠发病相关因素、临床表现、鉴别及治疗方式。方法:回顾分析中日友好医院妇科收治的3例少见异位妊娠患者的病史、辅助检查及诊疗经过并文献复习。结果:各例术前均行手术探查,术中所见及术后病理确诊为少见异位妊娠,治疗后随访血绒毛膜促性腺激素均降至正常范围。结论:临床上对于急诊育龄期妇女均需警惕异位妊娠可能,尽早诊治,减少并发症的出现。

Analysis of 3 women with rare ectopic pregnancy and the literature review of rare ectopic pregnancy

Objective:To explore the associated risk factors,clinical manifestations,diagnosis and treatment of rare ectopic pregnancy(REP).Methods:The clinical data of 3 women with REP from China-Japan Friendship Hospital were analyzed retrospectively,which included the medical history,auxiliary examination,and the diagnosis and treatment.The related literatures on REP were also reviewed.Results:All of these women were given preoperative surgical exploration and were conformed as REP by intraoperative findings and postoperative pathology.The serumβ-HCG level had decreased gradually to normal range after operation followed up.Conclusion:The emergency treatment of childbearing age women should be alerted to the possibility of ectopic pregnancy in clinical practice.Early diagnosis and treatment of women with ectopic pregnancy can reduce the occurrence of complications.