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宫外孕仍然是最常见的妇科急腹症之一,它也仍然常常被误诊和漏诊,潜在着很大的危险性。重视其诊断与治疗中的几个关键问题,也将对改进妇科工作质量有裨益。一、发病危险因素及发病率上升宫外孕的发病率有增无减,以每1000次妊娠计,在70年代是4.5;到80年代上升为14,增加了3.7倍。妇科急腹症中发生率的顺序,先前是宫外孕、急性盆腔炎、流产、卵巢囊肿扭转及卵巢(黄体)破裂。现今是宫外孕、卵巢囊肿扭转及卵巢(黄体、“巧克力囊肿”)破裂、流产及急性盆腔炎。可见,其他急腹症的“地位”有所变化,而宫外孕却仍居发病之首位。一些易患宫外孕的危险因素亦有所变化及新的值得注意的趋向: 1.盆腔炎症(PID)这是引起输卵管粘连、伞
Ectopic pregnancy remains one of the most common gynecologic acute abdomen attacks and is often misdiagnosed and missed, potentially with great risks. Attention to the diagnosis and treatment of a few key issues, will also be of great benefit to improve the quality of gynecological work. First, the risk factors for morbidity and incidence increased ectopic pregnancy incidence increased unabated to 1000 pregnancies, in the 70s is 4.5; to the 1980s increased to 14, an increase of 3.7 times. The incidence of gynecological acute abdomen in the order of previous ectopic pregnancy, acute pelvic inflammatory disease, abortion, ovarian cyst torsion and ovarian (corpus luteum) rupture. Today is ectopic pregnancy, ovarian cyst torsion and ovarian (luteal, “chocolate cyst”) rupture, abortion and acute pelvic inflammatory disease. Can be seen that other acute abdomen “status” has changed, while ectopic pregnancy is still the highest incidence. Some of the risk factors for ectopic pregnancy also change and new noteworthy trends: 1. Pelvic inflammatory disease (PID) This is the cause of tubal adhesions, umbrella