卵巢妊娠26例临床病理分析

为总结卵巢妊娠的临床病理特征,对26倒卵巢妊娠与输卵管妊娠进行对照分析。结果,卵巢妊娠占异位妊娠的4.3%,1:2358次妊娠,卵巢妊娠放置宫内节育器(IUD)者较输卵管妊娠多见(P<0.025),腹痛是卵巢妊娠最明显的特征(P<0.005),平均停经时间较短(P<0.001),发病年龄较低(P<0.005)。放置IUD者卵巢妊娠的相对危险性增加,术前诊断困难,病理学诊断仍是主要鉴别诊断方法,卵巢楔形切除术是首选治疗方法。

A Clinical and Pathologic Analysis of 26 Cases of Ovarian Pregnancy

To report the clinical and pathologic features of the ovarian pregnancy,We performed a control study of 26 cases of ovarian pregnancy,admitted to our hospitals for treatment between January, 1987 and December, 1999. Results were the incidence of ovarian pregnancy as compared to those of ectopic and all pregnancy were 4. 3% and 1 : 2358,respectively. IUD users of the ovarian pregnancy were much more than those of tubal pregnancy(P <0. 025). Abdominal pain were more frequently seen in the cases of ovarian pregnancy( P <0. 005). The mean amenorrheal duration was shorter ( P <0. 001). The mean age of the patients of the ovarian pregnancy was lower( P <0. 05). The risk of ovarian pregnancy of IUD users were increased,relatively. To establish the diagnosis preoperatively was rather difficult. The wedge resection of the pregnant ovary was the treatment of choice.