最近审阅: 25 十月 2020
最近更新: 30 十月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 腹痛
  • 闭经
  • 阴道出血
  • 腹部压痛
  • 附件压痛或肿块
  • 阴道穹窿有积血
  • 血液动力不稳、直立性低血压
  • 宫颈举痛

危险因素

  • 既往异位妊娠
  • 既往输卵管绝育手术
  • 母亲子宫内己烯雌酚暴露
  • 宫内节育器 (IUD) 的使用
  • 既往生殖器感染
  • 慢性输卵管炎
  • 峡部结节性输卵管炎
  • 不育症
  • 多名性伴侣
  • 吸烟
  • 辅助生殖技术 (assisted reproductive technology, ART)
  • 初次性行为年龄<18 岁
  • 孕妇年龄>35 岁
  • 输卵管再造术

诊断性检查

首要检查

  • 尿液或血清妊娠试验
  • 高分辨率经阴道超声 (TVUS)
  • 经腹超声
更多 首要检查

需考虑的检查

  • 连续血清 hCG 检测
  • 吸宫术
更多 需考虑的检查

治疗流程

撰稿人

William Shippen Jr. Professor of Obstetrics and Gynecology and Epidemiology

Vice Chair for Clinical Research

Director, Women's Health Clinic Research Center

The Perelman School of Medicine

University of Pennsylvania

Associate Chief, Penn Fertility Care

Philadelphia

PA

利益声明

KTB declares that he has no competing interests.

Dr Kurt T. Barnhart would like to gratefully acknowledge Dr Ingrid Granne, Dr Veronica Gomez-Lobo, Dr Sina Haeri, and Dr Mohammad Ezzati, previous contributors to this monograph. IG, VGL, SH, and ME declare that they have no competing interests.

同行评议者展开全部内容

Chief

Reproductive Biology Medicine and Biology

NICHD

Bethesda

MD

利益声明

AD declares that he has no competing interests.

Consultant in Obstetrics and Gynaecology

West Middlesex University Hospital

London

UK

利益声明

JCG declares that she has no competing interests.

内容使用需遵循免责声明