pregnancy 异位妊娠课件

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1、EctopicPregnancy异位妊娠JunMa马军Dept.ofObstetrics&GynecologyTheFirstHospitalofXi’anJiaotongUnivEctopic:(Ektopos)outofplaceDefinitionEctopicpregnancy:fertilizedembryoimplantedoutsidetheuterinecavityintrauterineimplantationAnimationofintrauterineimplantationAnimationofectopicimplantation>95%Classi

2、ficationofectopicpregnancyOverviewLeadingcauseofmaternaldeathsinthefirsttrimesterConstituting1-2%ofallconceptionsSubsequentinfertilityIncidenceincreasingMortalitydecreasingwithbetterdetectionTubalpregnancy输卵管妊娠IncidenceoftubalpregnancybylocationIncidenceoftubalpregnancybylocationInterstitia

3、l2-3%isthmic12%Ampullary78%Fimbrial5%Whichwomenareathigherriskfortubalpregnancy?High-riskFactorsPriorhistoryofPID(pelvicinflammatorydisease)High-riskFactorsPriorhistoryofPID(pelvicinflammatorydisease)TubalSurgeryPreviousEctopicPregnancyIUD(intrauterinedevice)???OthertubalabnormalitiesPathol

4、ogy&outcomesTubalabortionOutcomesRuptureoftubalpregnancySecondaryabdominalpregnancyTubalmole&pelvichematomaOtherpathologicalchangesHCGCorpusluteumEndometriumVaginalbleedingUterusIntactembryomaintainmaintaindecidua-slightlyenlargeddropregressdeciduashedding+/irregularslightlyenlargedornormal

5、sizeRuptureorabortionQuestionHowtoexplainthesituationwhenawomanwithectopicpregnancyclaimedthatshehadexpelledan“intra-unterineembryo-liketissue”?EndometriumVaginalbleedingVaginalpassoftissuePregnancytestHistology(Intrauterinevilli)Tubalabortiondeciduashedding+/irregular++_decidua+/irregular+

6、++IntrauterineabortionSummaryWhatisectopicpregancy?Whichpatientsareathigherriskfortubalpregnancy?Whatarethefatesoftubalpregnancy?Thankyou.