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ECTOPICECTOPICPREGPREGNANCYNANCY（异位妊娠）（异位妊娠）ECTOPICECTOPICPREGPREGNANCYNANCY（异位妊娠）（异位妊娠）DefinitionDefinitionectopicpregnancyectopicpregnancy(extrauterinepregnancy)refersto:(extrauterinepregnancy)refersto:implantation(implantation(种植种植)ofthefertilizedovu)ofthefertilizedovum(m(受精卵受精卵))outsidetheuterinecavityoutsidetheuterinecavityIncidence:Incidence:yearothercountryourcountry19701:2221:167~32219891:511:56~93CategoriesFemaleinternalorgansuterusovaryovaryFallopiantubeFallopiantubePositionsofectopicpregnancyPositionsofectopicpregnancytubalpregnancy95%ovarianpregnancyabdominalpregnancycervicalpregnancybroadligmentpregnancyCategoriesTUBALPREGNANCYTUBALPREGNANCYthesiteoftubalpregnancythesiteoftubalpregnancy::ampulla(78%)isthmusampulla(78%)isthmusinfundibuluminterstitialportioninfundibuluminterstitialportionEtiologyEtiologyforanyreasonthereisforanyreasonthereisdelayinthepassageofthedelayinthepassageofthefertilizedovumalongthetubefertilizedovumalongthetubeA.A.Chronicsalpingitis(Chronicsalpingitis(慢性输卵管炎慢性输卵管炎))B.B.PrevioustubalsurgeryPrevioustubalsurgeryC.C.TubalabnormalitiesordysfunctionTubalabnormalitiesordysfunctionD.D.AssistedreproductivetechnologiesAssistedreproductivetechnologiesE.E.ContraceptionfailureContraceptionfailureF.F.OthersOthersEtiologyEtiologyA.ChronicsalpingitisA.ChronicsalpingitisTheThecommoncausecommoncauseoftubalpregnancyoftubalpregnancymucousmembraneinflammationmucousmembraneinflammation((输卵管粘膜炎输卵管粘膜炎))Perisalpingitis(Perisalpingitis(输卵管周围炎输卵管周围炎))destroydestroytheciliated(theciliated(纤毛纤毛)epithelium)epitheliumepithelialfoldsepithelialfoldsadhesionsadhesionsobstructobstructtuballumentuballumenB.PrevioustubalsurgeryB.Previoustubalsurgerytuballigation(tuballigation(结扎术结扎术))、、tubalreanastomosis(tubalreanastomosis(吻合术吻合术))、、infertilitytubalsurgeryinfertilitytubalsurgeryC.tubalabnormalitiesordysfunctionC.tubalabnormalitiesordysfunctionexcessivelengthofthetubeexcessivelengthofthetubecongenitaldiverticula(congenitaldiverticula(憩室憩室))accessoryostia(accessoryostia(输卵管附伞输卵管附伞),),hypoplasiahypoplasiaD.AssistedreproductivetechniquesD.Assistedreproductivetechniques5%5%E.ContraceptionfailureE.ContraceptionfailureIUDIUDF.Others:F.Others:pelvicendometriosispelvicendometriosismyomamyomaovariantumorsovariantumorsTubalpathologyTubalpathologyUterinechangesUterinechangesPathologyPathologyTubalpathologyTubalpathologyTheembeddingoftheembryointheuterusisdiffeTheembeddingoftheembryointheuterusisdifferentfromthatinthetuberentfromthatinthetubedeciduaandmusclethick/thindeciduaandmusclethick/thinitiseasyforthetrophoblast(itiseasyforthetrophoblast(滋养层滋养层)to)toerodeerodeintointothedeciduaandmuscleoftube.ultimatelythedeciduaandmuscleoftube.ultimatelypenetratpenetratesesatubalwallorartery,atubalwallorartery,localbleedingoccurslocalbleedingoccursTubalpathologyTubalpathologyTubalpathologycategoriesTubalpathologycategoriesTubalabortionTubalabortionTubalruptureTubalruptureOldectopicpregnancy(Oldectopicpregnancy(陈旧性宫外孕陈旧性宫外孕))SecondaryabdominalpregnancySecondaryabdominalpregnancy((继发性腹腔妊娠继发性腹腔妊娠))TubalpathologyTubalpathologyTubalabortionTubalabortionthecommonmodeofterminationthecommonmodeofterminationampullaampulla8th-12th...