子宫切除术后发生异位妊娠是不常见的,文献报告共22例。由于此类患者已经进行子宫切除,很少被诊断为本病。应该知道,在子宫切除术后而伴有急性腹痛的妇女,有可能为异位妊娠。作者介绍一位35岁的白人妇女,因月经过多用内分泌无效,末次月经1977年2月22日。于3月2日行子宫内膜活体组织检查,报告为子宫内膜增生。3月10日进行了阴式全子宫切除术。输卵管和卵巢无异常。手术顺利,术后第5天出院。4月20日(术后41日)进行随访检查,阴道断端除有一个小的肉芽组织、用硝酸银烧灼外,没有摸到附件包块,无疼痛和压痛。检查后约1小时,患者有晕厥性发作,随后有轻度下腹痛,血压正常。红细胞 Ectopic pregnancy after hysterectomy is uncommon, the literature reported a total of 22 cases. Since such patients have been hysterectomies, rarely diagnosed with this disease. It should be noted that women with acute abdominal pain after hysterectomy may have ectopic pregnancies. The author describes a 35-year-old white woman, due to excessive menstrual endocrine ineffective, the last menstrual February 22, 1977. On March 2 line endometrial biopsy, reported as endometrial hyperplasia. March 10 conducted a vaginal hysterectomy. Tubal and ovarian no abnormalities. The operation was successful and was discharged on the 5th postoperative day. April 20 (after 41 days) for follow-up examination, in addition to a small granulation tissue vaginal fracture, with silver nitrate burning, there is no feeling of attachment mass, no pain and tenderness. About 1 hour after the examination, the patient had a convulsive seizure followed by mild lower abdominal pain and normal blood pressure. Red blood cells