Objective To determine etiology and clinical characteristics of ovarian pregnancy(OP). Methods The clinical data of womenrnwith OP admitted to and treated in Buji People' s Hospital of Longgang District of Shenzben City in a period from July, 1993 to December,rn2009 were retrospectively analyzed. Results 61 patients( 1.63％ ) with OP among a cohort of 3750 ectopic pregnancy (EP) were diagnozedrnand treated in the 16-year period. OP occurred on the right side more commouly. The mean gestational age of the pregnant women wasrn43.68 days. Of which, 58 patients(95.08％ ) had abdominal pain, 46 (75.41％) presented amenorrhea and 21 (34. 43％ )had vaginalrnbleeding. Most patients had high risk factors of EP, among which 42 patients (68.85％) had gynecologic diseases,40 patients (65.57％)rnhad history of induced abortion and 22 patients (36.07％) had currently used intrauterine device (IUD). No one had been diagnosedrnbefore operation. All patients received surgery, including 7 cases of laparoscopic operation. Conclusion OP is closely related torngynecologic diseases, induced abortion and IUD placement. Preoperative diagnosis is often difficult due to no specific chnicalrnpresentations. Detection of β-hCG combined with transvaginal ultrasonngraphy could improve preoperative diagnostic accuracy.%目的 探讨卵巢妊娠的病因及临床诊治特点.方法 回顾性分析1993年7月至2009年12月本院收治的61例卵巢妊娠病例.结果 1993年7月～2009年12月来本院诊治异位妊娠3 750例,其中卵巢妊娠61例,占同期异位妊娠1.63%,以右侧卵巢发生居多(65.57%),平均孕龄43.68天.其中58例(95.08%)腹痛,21例(34.43%)阴道出血,46例(75.41%)停经.多数有异位妊娠高危因素:42例(68.85%)有妇科疾病史,40例(65.57%)有人工流产史,22例(36.07%)放置宫内节育器.无1例患者术前确诊,均手术治疗,其中6例行腹腔镜手术.结论 妇科疾病、人工流产及放置宫内节育器与卵巢妊娠发病关系密切.应结合血β-人绒毛膜促性腺激素及阴道B超以提高术前诊断率.
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