摘要
目的探讨放置宫内环后异位妊娠的早期诊断与治疗。方法对180例带环发生异位妊娠者的发生部位、时间、发生率进行分析,并提出早期处置方法。结果本组180例中发生输卵管妊娠160例,卵巢妊娠14例,宫角妊娠6例;获得早期诊断者82例,其余98例经开腹探查确诊;58例经保守治疗,24例输卵管切开取胚术,98例行开腹手术,均获治愈。结论带环异位妊娠者,只要早期发现,早期诊断,并采取相应的处置方法,均可获得满意治疗效果;为降低异位妊娠的发生率,宫内放环后应积极有效地治疗盆腔炎。
Objective To discuss the early diagnosis and treatment of heterotopic pregnancy after insertion of intraterin device. Methods We retrospectively analyzed the location, time, and occurrence rate of 180 cases of heterotopic pregnancy with intrauterin device and thereupon put forward early intervention protocols. Results Among the 180 cases, tubal pregnancy was found in 160 cases, ovarian pregnancy in 14 cases, cornual pregnancy in 6 cases. Early diagnosis was made in 82 cases, and the diagnosis for other 98 cases was made by exploratory laparotomy. All the patients were cured, in whom 58 patients were treated by conservative therapies, 24 by removal of embryo via salpingotomy, 98 by laparotomy. Conclusion Early diagnosis and treatment are essential to achieve a favorable result for such patients. In order to reduce the incidence of heterotopic pregnancy, active and effective measures should be taken to treat pelvic inflammation after the insertion of intraterin device.
出处
《西部医学》
2006年第4期462-463,共2页
Medical Journal of West China
关键词
宫内节育环
异位妊娠
早期处置
Intrauterin device
Heterotopic pregnancy
Early management
