ectopic pregnancy 异位妊娠

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1、EctopicPregnancy异位妊娠JunMa马军Dept.ofObstetrics&GynecologyTheFirstHospitalofXi’anJiaotongUnivEctopic:(Ektopos)outofplaceDefinitionEctopicpregnancy:fertilizedembryoimplantedoutsidetheuterinecavityintrauterineimplantationAnimationofintrauterineimplantationAnimationofectopicimplan

2、tation>95%ClassificationofectopicpregnancyOverviewLeadingcauseofmaternaldeathsinthefirsttrimesterConstituting1-2%ofallconceptionsSubsequentinfertilityIncidenceincreasingMortalitydecreasingwithbetterdetectionTubalpregnancy输卵管妊娠IncidenceoftubalpregnancybylocationIncidenceoftub

3、alpregnancybylocationInterstitial2-3%isthmic12%Ampullary78%Fimbrial5%Whichwomenareathigherriskfortubalpregnancy?High-riskFactorsPriorhistoryofPID(pelvicinflammatorydisease)High-riskFactorsPriorhistoryofPID(pelvicinflammatorydisease)TubalSurgeryPreviousEctopicPregnancyIUD(int

4、rauterinedevice)???OthertubalabnormalitiesPathology&outcomesTubalabortionOutcomesRuptureoftubalpregnancySecondaryabdominalpregnancyTubalmole&pelvichematomaOtherpathologicalchangesHCGCorpusluteumEndometriumVaginalbleedingUterusIntactembryomaintainmaintaindecidua-slightlyenlar

5、geddropregressdeciduashedding+/irregularslightlyenlargedornormalsizeRuptureorabortionQuestionHowtoexplainthesituationwhenawomanwithectopicpregnancyclaimedthatshehadexpelledan“intra-unterineembryo-liketissue”?EndometriumVaginalbleedingVaginalpassoftissuePregnancytestHistology

6、(Intrauterinevilli)Tubalabortiondeciduashedding+/irregular++_decidua+/irregular+++IntrauterineabortionSummaryWhatisectopicpregancy?Whichpatientsareathigherriskfortubalpregnancy?Whatarethefatesoftubalpregnancy?Thankyou.