异位妊娠

Paying due attention to blood and urine HCG determination,intravaginal B ultrasonography and a comprehensive analysis in the diagnosis of gynecological acute abdomen and suspected early pregnancy is the key to the reduction of missed and incorrect diagnosis of heterotopic pregnancy.

内外科对育龄妇女的急腹症勿忘询问停经史和不规则阴道流血史；妇产科急腹症和早孕疑似病例重视血、尿HCG和阴道B超检测综合分析是降低异位妊娠漏诊率和误诊率的关键。

This can be an alternative to surgery because many ectopic pregnancies will miscarry naturally.

这可以是一种替代手术，因为有很多异位妊娠，将自然流产。

Objective To analyze and discuss the dangerous pathogenic element of the ectopic pregnancy.

目的 分析和探讨异位妊娠发病的高危因素。

Objective To explore the value of laparoscopic operation in the treatment of gynecologic diseases.Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

目的 探讨妇科腹腔镜手术的临床应用价值方法回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，多囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

The causes of repeat ectopic pregnancy resulted from salpingitis or persistency ectopic pregnancy.

本病的发病与输卵管炎症及前次异位妊娠有关。

About half of ectopic pregnancies occur because of an identifiable lesion such as chronic salpingitis from pelvic inflammatory disease or adhesions from appendicitis, endometriosis, or previous laparotomy .

大约有一半的异位妊娠是由于盆腔炎性疾病而引起的慢性输卵管炎、阑尾炎、子宫内膜异位症或是由于曾做过剖腹手术而引起的。

P＜0.01. Conclusion Conservative treat-ment and inflamed salpinx are risk factors of recurrent ectopic pregnancy. Shanghai Med

保守性治疗与输卵管炎症是重复异位妊娠的危险因素。

A summary was given to 35 cases of gynecologic operation ( the success rate was 100%), including ovarian tumor removal under TV abdominoscope, adnexectomy, oviducal ectopic gestation, ostomy of fimbria end of fullopian tube (with tubal patent test by liquid instillation on two sides), lytic operation for pelvic adhesion, avarian endometriosis and sterilizing operation.

总结在电视腹腔镜下行卵巢囊肿剔除术、附件切除术、输卵管异位妊娠手术、输卵管伞端闭锁造口、盆腔粘连分开术和并盆腔、卵巢子宫内膜异位症和绝育手术共 3 5例资料，成功率为 10 0 %。

The clinical date of 91 cases to treat by laparoscopy were reviewed. Results 91 case with adnex benign disease were performed completely with laparoscopy.

回顾分析应用腹腔镜手术治疗91例卵巢黄体破裂、良性肿瘤、异位妊娠、输卵管系膜囊肿的临床资料。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。