文章摘要
李辉谭毅△ 江彩虹.右侧输卵管同时合并左侧卵巢妊娠一例暨文献复习[J].,2012,12(19):3711-3713
右侧输卵管同时合并左侧卵巢妊娠一例暨文献复习
Right Fallopian Tube and Left Ovarian Pregnant in the Same Time
  
DOI:
中文关键词: 输卵管妊娠  卵巢妊娠  β-HCG
英文关键词: Tubal pregnancy  Ovarian pregnant  β-HCG
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作者单位
李辉谭毅△ 江彩虹 昆明医学院第四附属医院云南省红十字会医院妇科 
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中文摘要:
      目的:总结输卵管合并卵巢妊娠的诊治经验教训和治疗方法。方法:回顾性分析我院2010 年11 月9 日入院右侧输卵管同时 合并左侧卵巢妊娠患者临床资料,B 超检查,急诊腹腔镜探查术并送病理组织检查。结果:行右侧输卵管切除术+ 左侧卵巢囊肿 剥除术+ 粘连分解术后病检结果为:(右输卵管)腔内变性绒毛及滋养细胞,符合异位妊娠;(左卵巢囊肿)羊膜、绒毛及滋胚叶细 胞,符合异位妊娠。术后3、6 和8 天患者血HCG 浓度水平分别为19.61ng/ml、4.47ng/ml 和1.84ng/ml,术后顺利恢复出院。结论: 输卵管合并卵巢妊娠发生较为罕见,极易漏诊和误诊,及时行腹腔镜探查术是有效的诊治手段。
英文摘要:
      Objective: To discuss diagnosis and treatment of tubal pregnancy with ovarian pregnant in the same time. Methods: Retrospective analysis of one patient clinical data about the right tubal pregnancy and left ovarian pregnancy in November 9, 2010. Results: After right salpingectomy, left ovarian cystectomy and adhesion decomposition technique,pathological examination of right tubal pregnancy and left ovarian pregnancy showed that they coincide ectopic pregnancy. The level of blood β-HCG in the 3th, 6th and 8th day after operation were 19.61ng/ml, 4.47ng/ml and 1.84ng/ml respectly. Successful recovery. Conclusion: Tubal ovarian pregnancy is rare, and easily missed and misdiagnosed, immediate surgery is an effective means of diagnosis and treatment.
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