腹腔妊娠54例临床分析

目的 探讨腹腔妊娠的早期诊断及积极有效的治疗措施,减少孕产妇、新生儿死亡率.方法 电子检索PubMed、中国期刊网专题全文数据库过去10年中发表的有关腹腔妊娠的个案报道,以及我院1996年2月至今10年间收治的腹腔妊娠3例患者临床资料,制定严格入选标准,对入选病例的临床资料进行回顾性分析.结果 共收集病例145例,其中54例符合最终的入选标准,纳入分析.原发性腹腔妊娠3例,占5.6%.其余51例为继发性腹腔妊娠.中、晚期腹腔妊娠的误诊率分别为22%,77.3%.结论 根据临床表现、结合B超、电子计算机断层扫描或核磁共振检查,早期诊断,正确评估胎盘着床情况,积极正确有效的治疗可以大大降低孕产妇及新生儿死亡率,改善预后.

A clinical analysis of 54 cases of abdominal pregnancy

Objective To explore early diagnosis and effective treatment of abdominal pregnancy,so as to decrease maternal and neonatal mortality rates.Methods We reviewed clinical data of all patients with abdominal pregnancy in case reports published in PubMed and CNKI in past decade and 3 cases of abdominal pregnancy in our hospital over a 10-year period from Feb.,1996 to Feb.,2006.We worked up a strict selection criteria and then conducted a retrospective analysis for these selected cases.Results Data of 145 cases of abdominal pregnancy were reviewed in total,of which,54 cases met final selection criteria and were analyzed.There were 3 cases of primary abdominal pregnancy,accounting for 5.6%.The rest 51 cases were secondary abdominal pregnancy.The misdiagnosis rate of abdominal pregnancy was 22% in the second-trimester of pregnancy,and 77.3% in the third-trimester of pregnancy.Conclusion Combining clinical manifestations with B-Mode ultrasonography,CT or MRI results,the placental implantation situation can be evaluated correctly,early diagnosis of abdominal pregnancy could be made and the effective and timely treatment can be given,so that the maternal and neonatal mortality rates could be decreased,and their prognosis could be improved.