腹腔妊娠的诊断及处理原则

目的：探讨腹腔妊娠的诊断和处理原则。方法：对1980年以来中文文献报告的腹腔妊娠病例进行综合报道。结果：腹腔妊娠的发病率为1：10 860次分娩，常见临床特征为早孕期腹痛史（占68．57％）、早孕期后反复腹痛不适（占71．70％）和胎位异常（占62．96％）。术前诊断率为34．2％。转产儿死亡率27．59％，本组有1例产妇死亡。18．75％的病例手术时将胎盘遗留在腹腔。结论：腹腔妊娠是一种严重和少见的异位妊娠，及时诊断和正确处理可降低孕产妇和围产儿死亡率。

Diagnosis and Principle of Treatment on Abdominal Pregnancy

Objective:To evaluate the diagnosis and treatment of abdominal pregnancy. Methods:70 cases Chinese literature were reviewed. Results : The incidence of abdominal pregnancy is 10860 delivery. The clinical characteristic of abdominal pregnancy are first trimester low abdominal pain (68.75%),second and/or third trimester abdominal pain(71.70%) ,and abnormal position (62.96%) .The correct diagnosis rate before operation is 34.29% .The perinatal mortality is 27.59% .There was one maternal death in this series. 18.75% of cases require to left placenta in abdominal cavity. Conclusion :Abdominal pregnancy is a rare and severe ectopic pregnancy. A correct diagnosis and treatment may decrease maternal and perinatal mortality.