卵巢妊娠45例临床分析

目的：探讨卵巢妊娠的病因、临床特点及诊治方法。方法：回顾性分析2009年1月至2016年1月该院收治的45例卵巢妊娠病例。结果：卵巢妊娠占同期异位妊娠2.08%。卵巢妊娠最主要症状是腹痛（91.1%）、停经史（88.9%）、阴道出血（71.1%）。患者术前确诊率低（14.6%），均实行手术治疗。结论：卵巢妊娠发生率呈上升趋势，病因尚不十分清楚，临床表现缺乏特异性，危害较大；治疗以手术为主，腹腔镜手术较剖腹探查术安全、有效，有一定优越性。应大力提高临床医师对本病的诊断水平。

Analysis on 45 Cases of Ovarian Pregnancy

Objective:To discuss the etiological factor,clinical characteristics,diagnosis and treatment methods of ovarian pregnancy. Methods:Retrospec-tive case control study of 45 cases of ovrian pregnancy treated between January 2009 to January 2016. Results:45 cases of ovrian pregnancy comprised 2. 08% of all ectopic pregnancy. The chief symptoms were abdominal pain(91. 1% ),the history of amenorrhea(88. 9% ),vaginal bleeding(71. 1% ). There is a low rate to make a definite diagnosis before operation. All 45 patients received operation. Conclusions:There is an increasing tendency of ovarian pregnancy in recent years. The causation of ovarian pregnancy is not clear. The clinical manifestation is not typical. Operation is the first choice of ovarian pregnancy. Laparoscopic op-eration is better than exploratory laparotomy. The Clinician should promote the diagnostic acuity of ovarian pregnancy.