CHINAMEDICINEANDPHARMACYVol.13No.2January20231822023年1月第13卷第2期·病例报告·▲通讯作者继发性大网膜妊娠1例解军玉1陈秋英1陈奇1王明伟1姚红梅2▲1.济宁医学院临床医学院，山东济宁272000；2.济宁医学院附属医院妇科，山东济宁272000[摘要]大网膜妊娠是一种特殊类型的异位妊娠，属于腹腔妊娠的一种，分为原发性和继发性。原发性大网膜妊娠指受精卵直接着床于大网膜；继发性大网膜妊娠指输卵管妊娠流产、破裂，其他异位妊娠或子宫壁穿孔等原因导致妊娠组织再植入，附着于大网膜重新种植而形成。早期大网膜妊娠临床表现与其他异位妊娠相似，常被误诊为输卵管异位妊娠。由于大网膜妊娠早期诊断比较困难，因此大网膜妊娠的患者死亡率远高于输卵管妊娠。近期我院收治了1例输卵管妊娠患者，在腹腔镜下行患侧输卵管切除术后，β人绒毛膜促性腺激素(β-HCG)下降缓慢，甚至出现再次上升的趋势，再次手术诊断为继发性大网膜妊娠，回顾分析患者的临床资料，探讨引起继发性大网膜妊娠发病的原因及可能预防的措施，以期为临床医师提供参考。[关键词]异位妊娠；大网膜妊娠；腹腔妊娠；输卵管切除术；β-HCG[中图分类号]R713.8[文献标识码]A[文章编号]2095-0616（2023）02-0182-04AcaseofsecondaryomentalpregnancyXIEJunyu1CHENQiuying1CHENQi1WANGMingwei1YAOHongmei21.SchoolofClinicalMedicine,JiningMedicalUniversity,Shandong,Jining272000,China;2.DepartmentofGynecology,AffiliatedHospitalofJiningMedicalUniversity,Shandong,Jining272000,China[Abstract]Omentalpregnancyisaspecialtypeofectopicpregnancy,whichbelongstoabdominalpregnancy.Itcanbedividedintoprimaryandsecondarytypes.Primaryomentalpregnancyreferstothedirectimplantationoffertilizedeggsintotheomentum.Secondaryomentalpregnancyisdevelopedbythesecondaryimplantationofpregnanttissueduetothetubalabortionandruptureoftubalpregnancy,otherectopicpregnancyorperforationofuterinewall,etc.,andthenattachmenttoomentum.Theclinicalmanifestationofearlyomentalpregnancyissimilartootherectopicpregnancy,whichisoftenmisdiagnosedastubalectopicpregnancy.Astheearlydiagnosisofomentalpregnancyisdifficult,themortalityforpatientswithomentalpregnancyismuchhigherthanthatforpatientswithtubalpregnancy.Recently,apatientwithtubalpregnancywasadmittedto...
