【摘要】 近年来随着宫内节育器的广泛应用,宫内节育器合并异位妊娠的问题已引起国内外注意。本文综合报道中山医院1973～1979年异位妊娠71例中带器异位妊娠7例(输卵管妊娠6例,卵巢妊娠1例),纺一医院1977～1979年带器异位妊娠3例和市六人民医院带器卵巢妊娠一例。分析病例,复习文献,对宫内节育器与异位妊娠的关系进行了探讨,并提出对带有宫内节育器者如有腹痛及阴道流血等症状,必须警惕有异位妊娠的可能性,以防因带有节育器而延误诊断。更多还原

【Abstract】 This report presented 11 cases of ectopic pregrancy (2 ovarian pregnancies and 9 tubalpregnancies) in intrauterine device (IUD) users from three hospitals in Shanghai.Theduration between the setting of IUD and the occurrence of ectopic pregnancy was 8 monthsto 11 years,6 cases occurred within 1-3 years.The ratio of ectopic pregnancy with IUDin place to total deliveries was 1:1050 in Zhongshang Hospital.In the past decade,thenumber of ectopic pregnancy with IUD in place rose parallelly with the increasing use ofIUD all over the country.The cause and pathogenesis of ectopic pregnancy in IUD usershave not been established.The reason that IUD cannot prevent ectopic pregnancy especiallyof the ovarian type is apparent.In 7 cases of this group,the diagnosis of ectopic pregnancywas delayed because of the doctors’ misconception in the reliability of IUD concerningcontraception.It is our experience that ectopic pregnancy should be suspected in any IUDuser who presents a picture of abdominal pain associated with irregular vaginal bleeding.更多还原