1、Ectopic Pregnancy 异位妊娠,Jun Ma 马军 Dept. of Obstetrics & Gynecology The First Hospital of Xian Jiaotong Univ,Ectopic:,(Ektopos) out of place,Definition Ectopic pregnancy: fertilized embryo implanted outside the uterine cavity,intrauterine implantation,Animation of intrauterine implantation,Animation o
2、f ectopic implantation,95%,Classification of ectopic pregnancy,Overview,Leading cause of maternal deaths in the first trimester Constituting 1-2% of all conceptions Subsequent infertility Incidence increasing Mortality decreasing with better detection,Tubal pregnancy 输卵管妊娠,Incidence of tubal pregnan
3、cy by location,Incidence of tubal pregnancy by location,Interstitial 2-3%,isthmic 12%,Ampullary 78%,Fimbrial 5%,Which women are at higher risk for tubal pregnancy?,High-risk Factors,Prior history of PID (pelvic inflammatory disease),High-risk Factors,Prior history of PID (pelvic inflammatory disease
4、) Tubal Surgery Previous Ectopic Pregnancy IUD (intrauterine device)? Other tubal abnormalities,Pathology & outcomes,Tubal abortion,Outcomes,Rupture of tubal pregnancy,Secondary abdominal pregnancy,Tubal mole & pelvic hematoma,Other pathological changes,Question,How to explain the situation when a w
5、oman with ectopic pregnancy claimed that she had expelled an “intra-unterine embryo-like tissue”?,Endometrium Vaginal bleeding Vaginal pass of tissue Pregnancy test Histology (Intrauterine villi),Tubal abortion,decidua shedding +/ irregular + + _,decidua +/ irregular + + +,Intrauterine abortion,Summary,What is ectopic pregancy? Which patients are at higher risk for tubal pregnancy? What are the fates of tubal pregnancy?,Thank you.,
