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10年来因宫外孕而行保守性手术者明显增加,并因此而出现一种新的并发症即所谓持续性宫外孕。1979年 Kelly 等首次报道本病。其特点为输卵管妊娠行保守性手术后β-hCG 滴定度不下降或上升,约半数患者因腹痛需再次手术治疗。虽然已有作者对该病的组织病理进行观察,但临床与病理的关系尚未阐明。1985年～1988年3年中,在美国匹兹堡大学Magee 妇女医院共发现8例持续性输卵管妊娠,另有3例输卵管妊娠因行保守治疗时出现难以控制的出血,最后切除输卵管。前者8例患者中原手术为
Ten years due to ectopic pregnancy and conservative surgery increased significantly, and thus the emergence of a new complication that the so-called persistent ectopic pregnancy. In 1979, Kelly et al first reported the disease. It is characterized by conservative surgery after tubal pregnancy β-hCG titer does not decline or rise, about half of patients need reoperation due to abdominal pain. Although the authors have observed the histopathology of the disease, the relationship between the clinic and the pathology has not been elucidated. Between 1985 and 1988, eight consecutive tubal pregnancies were found at the Magee Women’s Hospital, University of Pittsburgh, United States during the three-year period. Three other tubal pregnancies resulted in uncontrollable bleeding during conservative treatment and the subsequent removal of the fallopian tubes. The former 8 patients Central Plains surgery