宫角妊娠处理方式探讨  

Eexperiences in diagnosis and treatment of 156 renal traumas

作　　者：张瑜[1] 张怡[1] 谭金秀[1] 

机构地区：[1]中南大学湘雅医院妇产科,湖南长沙410008

出　　处：《中国医学工程》2007年第7期603-604,608,共3页China Medical Engineering

摘　　要：目的探讨宫角妊娠的处理方式。方法对15例宫角妊娠进行回顾性分析。结果15例患者中11例患者接受吸刮术,其中8例首先误诊为宫内妊娠。最终,开腹手术7例;B超下行清宫术5例,其中2例先行宫腔镜检;腹腔镜下宫角妊娠物清除术1例;甲氨喋呤(MTX)化疗1例;自然流产1例。结论早期宫角妊娠容易误诊,尽早明确诊断有助于选择合适的处理方式。[Objective] To investigate the management of uterine eornual pregnancy. [Methods] Fifteen eases of the eomual pregnancies were analysed retrospectively. [Results] Eleven eases of eomual pregnancy performed with artificial abortion including those 8 cases were misdiagnosised with intrauterine pregnancy. At last, Seven eases were performed with abdominal operation, 5 eases were performed with artificial abortion under senography monitor （2 cases were treated with hyteroscopy first）. 1 case was treated with laproscopy and 1 case was treated with MTX. One case underwent spontaneous abortion. [Conclusion] Early diagnosis is helpful in the treatment of comual ectopic pregnancies. Appropriate time and methods of treatment may be less likely to compromise future reproductive function.

关 键 词：宫角妊娠 诊断 治疗 

分 类 号：R714.224[医药卫生—妇产科学]