ACOG Practice Bulletin No. 191: Tubal Ectopic Pregnancy.
ACOG Practice Bulletin No. 191: Tubal Ectopic Pregnancy.
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DOI：
10.1097/aog.0000000000002464
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发表时间：
2018-02-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
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异位妊娠是指发生在子宫腔外的妊娠。异位妊娠最常见的部位是输卵管。大多数早期发现的输卵管异位妊娠病例可以通过微创手术或使用甲氨蝶呤的药物管理成功治疗。然而，输卵管异位妊娠在一个不稳定的病人是一个医疗紧急情况，需要立即手术干预。本文件的目的是审查目前对输卵管异位妊娠的认识，并提供与现有最佳科学证据相一致的及时诊断和管理指南。
Ectopic pregnancy is defined as a pregnancy that occurs outside of the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical emergency that requires prompt surgical intervention. The purpose of this document is to review information on the current understanding of tubal ectopic pregnancy and to provide guidelines for timely diagnosis and management that are consistent with the best available scientific evidence.