返回
Ectopic pregnancy
DOI:10.1038/s41572-024-00579-x.png)
摘要
En 中文
Ectopic pregnancy, defined as the implantation of a developing pregnancy outside of the endometrial cavity of the uterus, is the leading cause of early-pregnancy maternal mortality. The majority of ectopic pregnancies implant in a fallopian tube. Acute complications may include rupture of the fallopian tube or rupture of ectopic pregnancy, haemorrhage and hypovolaemic shock, or occur secondary to treatments such as emergency surgery or blood transfusions, and ultimately increase the risk of maternal death. After ectopic pregnancy, patients may experience ongoing morbidity, including chronic pain, infertility and psychological distress. Assessment of ectopic pregnancy should focus on prompt diagnosis based on clinical and investigative findings but should also reflect a patient-centred approach with acknowledgement of potential psychological distress associated with pregnancy loss and reduced future fertility. Over the last four decades, the foundations of non-invasive diagnosis have been transvaginal sonography and serum beta-human chorionic gonadotropin, with diagnostic laparoscopy as a confirmatory test if surgical treatment is planned. Once diagnosed, ectopic pregnancy can be managed expectantly, treated medically with methotrexate or managed surgically. Future fertility is an important but often overlooked aspect in the management of ectopic pregnancy.
Keyword:
HUMAN CHORIONIC-GONADOTROPIN
IN-VITRO FERTILIZATION
CILIARY BEAT FREQUENCY
TRANSVAGINAL SONOGRAPHY
SYSTEMIC METHOTREXATE
UNKNOWN LOCATION
TUBAL PREGNANCY
RISK-FACTORS
LAPAROSCOPIC SALPINGOSTOMY
CONSERVATIVE TREATMENT
期刊
N
IF:
60.6
论文数:
648
被引数:
3.8W
机构
引用论文
Ectopic pregnancy
LANCET
IF88.5
Mifepristone followed by misoprostol compared with placebo followed by misoprostol as medical treatment for early pregnancy loss (the Triple M trial): A double-blind placebo-controlled randomised trial米非司酮联合米索前列醇与安慰剂联合米索前列醇治疗早孕流产的比较 (Triple M试验): 一项双盲安慰剂对照随机试验
Early pregnancy care over time: should we promote an early pregnancy assessment unit?随着时间的推移,早孕护理: 我们应该推广早孕评估单位吗?

