患者女，３５岁。５０天前无明显诱因出现下腹坠痛，无其他不适，在当地医院查尿ｈｃＧ（＋），经保胎治疗好转。２０天前再次出现下腹坠痛，阵发性，活动后加剧，伴恶心，未吐，无阴道流血。妇科检查：子宫如７０天妊娠大，边界欠清，压痛，左侧附件区触诊不清，右侧附件区压 Female patient, 35 years old. 50 days ago there was no obvious incentive to lower abdomen fall pain, no other discomfort, urinalysis in local hospitals hcG (+), after childbirth treatment improved. 20 days ago again appeared abdominal pain, paroxysmal, aggravated after activity, with nausea, no spit, no vaginal bleeding. Gynecological examination: the uterus, such as 70 days of pregnancy, the lack of border, tenderness, left attachment area palpation, right accessory pressure