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本文报道12例绝育术后输卵管妊娠,并对其病因作了讨论。其发病时间自术后4个月—9年不等。临床症状与通常宫外孕所见相同,如停经、阴道流血、盆腔包块、下腹疼痛及腹部盆腔触痛等。但却为“以往往有过绝育术”的病史所迷惑而延误诊断。12例中3例预诊为输卵管炎,2例卵巢囊肿,2例兰尾炎,1例肠梗阻,仅4例诊为宫外孕。自入院至手术时间有6例超过12小时。最重要是未及时作手术,但12例中无1例死亡。作者收集绝育术后发生输卵管妊娠的病例:某医院1970—1973年宫外孕患者达12％。Wacek和
This article reports 12 cases of tubal pregnancy after sterilization, and the etiology were discussed. The onset time from 4 months after surgery - 9 years. Clinical symptoms and ectopic pregnancy usually see the same, such as menopause, vaginal bleeding, pelvic mass, abdominal pain and abdominal pelvic tenderness. But it was delayed by the confusion of the medical history of “often having sterilization”. Among the 12 cases, 3 cases were diagnosed as salpingitis, 2 cases of ovarian cysts, 2 cases of inflammation, 1 case of intestinal obstruction, and only 4 cases were diagnosed as ectopic pregnancy. From admission to surgery time 6 cases more than 12 hours. The most important is not timely surgery, but no one in 12 cases died. The authors collected cases of tubal pregnancy after sterilization: a hospital from 1970 to 1973, up to 12% of patients with ectopic pregnancy. Wacek and