Recent advances in the understanding of tubal ectopic pregnancy.

Faculty reviews Pub Date : 2023-11-01 eCollection Date: 2023-01-01 DOI:10.12703/r/12-26
Heather C Flanagan, W Colin Duncan, Chih-Jen Lin, Norah Spears, Andrew W Horne
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Abstract

Ectopic pregnancy (EP) is described as the implantation of an embryo outside the normal uterine cavity. It most commonly occurs in the fallopian tube, hence termed a tubal ectopic pregnancy (tEP). It is a gynaecological emergency and remains the leading cause of direct maternal mortality related to the first trimester of pregnancy worldwide. This article explores the emergence of additional risk factors for tEP, showing new evidence for identifying patient risk factors and highlighting potential areas of research. Additionally, we discuss the up-to-date patient-centred approach for the diagnosis, management and counselling of patients with tEP and ongoing clinical trials for the improvement of medical management.

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输卵管异位妊娠的最新认识进展。
异位妊娠(EP)被描述为在正常子宫腔外植入胚胎。它最常见于输卵管,因此被称为输卵管异位妊娠(tEP)。这是一种妇科紧急情况,仍然是全球妊娠早期直接孕产妇死亡的主要原因。本文探讨了tEP额外风险因素的出现,为识别患者风险因素提供了新的证据,并强调了潜在的研究领域。此外,我们还讨论了最新的以患者为中心的tEP患者诊断、管理和咨询方法,以及正在进行的改善医疗管理的临床试验。
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