右侧输卵管同时合并左侧卵巢妊娠一例暨文献复习

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 misdiagncsed, immediate surgery is an effective means of diagnosis and treatment.%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+粘连分解术后病栓结果为:(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.