腹膜后异位妊娠的诊断与治疗现状:14例文献资料分析
Current Situation of Retroperitoneal Ectopic Pregnancy: Data Analysis of 14 Cases
DOI: 10.12677/MD.2016.61007, PDF, HTML, XML, 下载: 1,927  浏览: 6,090 
作者: 贺声, 李凤桐, 胡振峰:海军总医院超声诊断科,北京
关键词: 腹膜后异位妊娠Retroperitoneal Ectopic Pregnancy
摘要: 腹膜后妊娠十分罕见,发病率和胚胎组织异位种植途径仍不明了,临床表现也不典型,但破裂出血者病情凶险,尚无专门的诊断与治疗指南。本文通过对文献报道的14例资料的综述,分析了腹膜后妊娠的临床表现、病因病理、诊断要点及治疗原则。
Abstract: Cases of retroperitoneal ectopic pregnancy are very rare. The incidence and the entrance to the retroperitoneal space are unknown. To date, few published and unpublished reports are available and no clear or specific management guidelines have been defined. There still is a diagnostic and therapeutic challenge as the clinical manifestations are atypical and all treatments entail a risk for severe bleeding. This article summarizes the clinical signs, etiopathology, diagnostic points and principle of therapy by analyzing the data of 14 cases of retroperitoneal pregnancy.
文章引用:贺声, 李凤桐, 胡振峰. 腹膜后异位妊娠的诊断与治疗现状:14例文献资料分析[J]. 医学诊断, 2016, 6(1): 35-39. http://dx.doi.org/10.12677/MD.2016.61007

参考文献

[1] 胡明华, 翁媛英. 腹膜后腔异位妊娠一例[J]. 中华妇产科杂志, 2010, 45(11): 879.
[2] Ferland, R.J., Chadwick, D.A., O’Brien, J.A., et al. (1991) An Ectopic Pregnancy in the Upper Retroperitoneum Following in Vitro Fertilization and Embryo Transfer. Obstetrics & Gynecology, 78, 544-546.
[3] 李理, 张彩, 李婕, 等. 后腹膜异位妊娠1例并文献复习[J]. 现代妇产科进展, 2006, 15(4): 316.
[4] 黄学惠, 敬晓涛, 顾林莉. 腹膜后妊娠1例报道[J]. 昆明医学院学报, 2006(4): 151-152.
[5] 陈羽. 腹膜后妊娠1例[J]. 中国实用妇科与产科杂志, 2011, 27(11): 876.
[6] 郑进天. MRI诊断腹膜后妊娠大出血1例[J]. 实用放射学杂志, 2011, 27(12): 1952-1953.
[7] Mart, D., Varea, A., Hidalgo-Mora, J.J., et al. (2011) Retroperitoneal Ectopic Pregnancy after Intrauterine Insemination. Fertil-Steril, 95, 2433.e1-e3.
[8] Korie, C.O. (2010) Retroperitoneal Ectopic Pregnancy: Is There Any Place for Non-Surgical Treatment with Methotrexate? Journal of Obstetrics and Gynaecology Research, 36, 1133-1136.
http://dx.doi.org/10.1111/j.1447-0756.2010.01270.x
[9] Persson, J., Reynisson, P., Epstein, E., et al. (2010) Histopathology Indicates Lymphatic Spread of a Pelvic Retroperitoneal Ectopic Pregnancy Removed by Robot-Assisted Laparoscopy with Temporary Occlusion of the Blood Supply. Acta Obstetricia et Gynecologica Scandinavica, 89, 835-859.
http://dx.doi.org/10.3109/00016341003623779
[10] Iwama, H., Tsutsumi, S., Igarashi, H., et al. (2008) A Case of Retroperitoneal Ectopic Pregnancy Following IVF-ET in a Patient with Previous Bilateral Salpingectomy. American Journal of Perinatology, 25, 33-36.
http://dx.doi.org/10.1055/s-2007-1004829
[11] Dmowski, W.P., Rana, N., Ding, J., et al. (2002) Retroperitoneal Subpancreatic Ectopic Pregnancy Following in Vitro Fertilization in a Patient with Previous Bilateral Salpingectomy: How Did It Get There? Journal of Assisted Reproduction and Genetics, 19, 90-93.
http://dx.doi.org/10.1023/A:1014451932539
[12] Sotus, P.C. (1977) Retroperitoneal Ectopic Pregnancy: A Case Report. JAMA, 238, 1363-1364.
http://dx.doi.org/10.1001/jama.1977.03280140041007
[13] 贺声, 胡振峰, 李凤桐, 等. 超声提示左侧腹膜后妊娠1例[J]. 罕少疾病杂志, 2014, 21(102): 54-55.