持续性不明部位妊娠一例并文献复习

不明部位妊娠是一种妊娠状态，有多种临床结局，如宫内妊娠、异位妊娠、流产型不明部位妊娠和持续性不明部位妊娠。持续性不明部位妊娠是不明部位妊娠较少见的一种临床结局，因其临床表现缺乏特异性，且找不到妊娠囊位置，诊断困难，容易误诊，在临床上如果治疗不及时，可导致妊娠囊破裂或妊娠部位的出血、坏死，可危及患者生命。在临床中通常需要结合定期连续监测的血人绒毛膜促性腺激素（hCG）值、孕酮值和阴道超声结果进行诊断及治疗。为了总结临床持续性不明部位妊娠诊治体会，进一步提高对持续性不明部位妊娠诊断治疗水平，报道1例罕见的持续性不明部位妊娠临床资料，结合持续性不明部位妊娠诊断和治疗进展进行文献复习。

Persisting Pregnancy of Unknown Location: A Case Report and Literature Review

Pregnancy of unknown location is a pregnancy state and has a variety of clinical outcomes, such as intrauterine pregnancy, ectopic pregnancy, abortion of pregnancy of unknown location and persisting pregnancy of unknown location. Persisting pregnancy of unknown location is a clinical outcome that is less common in pregnancy of unknown location. Because of its lack of specificity in clinical manifestations and the location of the gestational sac can not be found, so it is difficult to diagnose and easy to be misdiagnosed. If the treatment is not timely, it may endanger the patient′s life because of rupturing of the gestational sac or bleeding or necrotizing of the gestational area. In the clinic, it is usually necessary to combine the blood hCG value, progesterone value and vaginal ultrasound results for diagnosis and treatment. In order to summarize the experience of the diagnosis and treatment of persisting pregnancy of unknown location, and further improve level of the diagnosis and treatment of persisting pregnancy of unknown location, a rare case of persisting pregnancy of unknown location was reported.