Rare ectopic pregnancy clinical analysis of 44 cases of.docVIP

 PAGE \* MERGEFORMAT 15 Rare ectopic pregnancy clinical analysis of 44 cases of [Keywords:] pregnancy, ectopic; ovary; cervix; peritoneal Ectopic pregnancy is a common acute abdomen Obstetrics and Gynecology, the incidence rate of 1 / 100, of which the most common tubal pregnancy, accounting for about 95% [1]. Other parts, such as ovarian, uterine horn, cervix, abdominal cavity may also occur such as ectopic pregnancy, because no characteristic clinical manifestations, could easily lead to diagnostic difficulties, the high rate of misdiagnosis, treatment irregularities, resulting in therapeutic effects. Retrospective analysis of our hospital in August 2000 ~ December 2006 admitted 44 cases of rare ectopic pregnancy diagnosis and treatment of patients, are reported below. A clinical data 1.1 Sources August 2000 ~ December 2006 in patients with ectopic pregnancy treated 1186 cases of rare ectopic pregnancy in 44 cases, of which 8 cases of ovarian pregnancy, cornual pregnancy in 27 cases, 4 cases of cervical pregnancy, uterine rudimentary horn pregnancy in 2 cases, 3 cases of abdominal pregnancy, special ectopic pregnancy ectopic pregnancy accounted for 3.58% of the total. All cases were confirmed by surgery and pathological examination. Patients 19 to 42 years old with an average of 29.84 years. 3 cases of early pregnancy, progesterone from 2 to 7 times in 41 cases, there is a history of 39 cases of induced abortion, a history of repeated ectopic pregnancy in 1 case, place the IUD (IUD) in 7 cases, there is a history of cesarean section 7 cases. 1.2 Clinical features 44 patients in 40 cases of a clear history of menopause, menopause time is the longest pregnancy in rudimentary horn of uterus, with an average of 4 months, the shortest of ovarian pregnancy with an average of 38.3 d. Only the symptoms manifested as abdominal pain, 23 cases showed irregular vaginal bleeding, 7 cases, both abdominal pain and vaginal bleeding in 14 cases there. Shock, 21 cases o