鑑別診斷子宮外孕與早期子宮內懷孕合併卵巢黃體囊腫破裂：病例報告

Early Intrauterine Pregnancy with Ovarian Corpus Luteum Cyst Rupture Mimicking Ectopic Pregnancy: A Case Report

王中川(Chung-Chang Wang)；吳信宏(Hsin-Hung Wu)；周邦新(Pan-Hsin Chou)；許瑞昌(Jui-Chang Hsu)；葉光芃(Guang-Perng Yeh)

子宮外孕 ； 卵巢黃體囊腫破裂 ； ectopic pregnancy ； ovarian corpus luteum cyst rupture

The Changhua Journal of Medicine

6卷3期（2001 / 07 / 01）

189 - 193

繁體中文

臨床上，子宮外孕及卵巢黃體囊腫破裂常見於生育年齡女性，如能診斷早期子宮內懷孕合併卵巢黃體囊腫破裂，避免不必要的非子宮外孕手術，不僅可以減少病患的痛苦，而且有良好的預後。本篇報告一位24歲女性，成功地以保守支持療法處理卵巢黃體囊腫破裂合併早期子宮內懷孕後，出現正常的胚胎發育。另外，本篇報告也收集了本院婦産科最近十年(1991-2000)所有術前診斷子宮外孕的病例，並針對其處理方式及手術結果作一研究分析。

In clinical practice, ectopic pregnancy and ovarian corpus luteum rupture may happen to any reproductive woman. If intrauterine pregnancy with ovarian corpus luteum cyst rupture can be diagnosed early, unnecessary surgery can be avoided, Not only the patient's pain can be reduced, but also good prognosis can be achieved. In this paper, we present a case of a 24-year-old woman with early intrauterine pregnancy involving ovarian corpus luteum cyst rupture. Despite her cyst's rupture, the woman's embryo continued to grow normally with conservative treatment. In addition to this case report, we have reviewed and analyzed ectopic pregnancy cases that were diagnosed shortly before surgery at the Changhua Christian Hospital between 1991 and 2000.