卵巢妊娠破裂三例诊疗体会

doi:10.12280/gjszjk.20230525

摘要/Abstract

摘要：

卵巢妊娠临床发病率低，一旦破裂患者预后较差。卵巢妊娠大多数在妊娠早期发生破裂，导致腹腔内大量出血，甚至休克。卵巢妊娠破裂术前往往误诊为输卵管妊娠破裂或卵巢黄体破裂，术中经仔细探查方可明确诊断，因此卵巢妊娠的早期诊断和治疗至关重要。本文报道3例卵巢妊娠，其中2例术前出现失血性休克表现，1例表现为腹痛加剧，均行急症手术治疗，术中探查均确诊为卵巢妊娠破裂。卵巢妊娠的治疗包括药物杀胚治疗和手术治疗，一旦发生破裂需行急症手术治疗。临床上对于异位妊娠患者均应考虑到卵巢妊娠可能，做到早诊断、早治疗，避免严重并发症的发生。

关键词: 破裂, 妊娠，输卵管, 诊断, 治疗, 病例报告, 卵巢妊娠, 黄体破裂

Abstract:

The clinical incidence of ovarian pregnancy is low, and its prognosis is poor once it ruptures. Most ovarian pregnancies rupture in the early stage of pregnancy, leading to massive bleeding in the abdominal cavity and shock. Preoperative diagnosis of ovarian pregnancy rupture is often misdiagnosed as tubal pregnancy rupture or ovarian corpus luteum rupture. Careful exploration during surgery can lead to a clear diagnosis. Therefore, early diagnosis and treatment of ovarian pregnancy are crucial. We reported three cases of ovarian pregnancy. Among them, two cases presented with hemorrhagic shock before surgery, and a case presented with intensified abdominal pain. All patients underwent emergency surgical treatment, and intraoperative exploration confirmed ovarian pregnancy rupture. The treatment of ovarian pregnancy includes drug therapy and surgical treatment. Once rupture occurs, emergency surgical treatment is required. In clinical practice, ovarian pregnancy should be considered in patients with ectopic pregnancy, to achieve early diagnosis and treatment, and to avoid serious complications.

Key words: Rupture, Pregnancy, tubal, Diagnosis, Therapy, Case reports, Ovarian pregnancy, Corpus luteum rupture

徐晓燕, 王笑璇. 卵巢妊娠破裂三例诊疗体会[J]. 国际生殖健康/计划生育杂志, 2024, 43(4): 309-312.

XU Xiao-yan, WANG Xiao-xuan. Diagnosis and Treatment of Three Cases of Ovarian Pregnancy Rupture[J]. Journal of International Reproductive Health/Family Planning, 2024, 43(4): 309-312.

图/表 2

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