Abstract

Objective To investigate the clinical diagnosis and treatment of the special site ectopic pregnancy. Methods Relevant literatures were reviewed and the clinical information from the three patients with special site ectopic pregnancy in Minhang Central Hospital was analyzed. Results After laparoscopic surgeries for the three patients, the postoperative pathology of them was chorion. They were separately diagnosed with a retroperitoneal ectopic pregnancy, an interstitial tubal pregnancy and a broad ligament pregnancy. Conclusion The ectopic pregnancy in specific body areas has no same typical symptom. It is hard to be diagnosed before surgery. The main current treatment is laparoscopic surgery, which has some benefits, such as with small open wounds, broaden horizon, quick recovery. It is the preferred surgical method. But we need improve the laparoscopic surgery skills to reduce the risk of complication, such as the tubal stump fistula. Ultrasound during surgery to find the lesions can be widely used. Key words: Ectopic pregnancy; Special site; Laparoscope; Diagnosis; Treatment

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