子宫角妊娠诊断与治疗分析  

clinical Analysis of Diagnosis and Treatment in 40 Cases with Uterine Horn Pregnancy

作　　者：郭赛群[1] 罗赛华[1] 王丽峰[1] 温都苏[1] 谭春燕[1] 

机构地区：[1]广东省廉江市人民医院,524400

出　　处：《黑龙江医药》2008年第2期90-93,共4页Heilongjiang Medicine journal

摘　　要：目的:探讨宫角妊娠的临床特征及早期诊断与治疗。方法:采用回顾性分析法对2003年1月至2007年3月我院收治的40例子宫角妊娠临床资料进行分析。结果:40例均治愈。二维 B 超诊断符合率50%,三维彩色超声符合率87.5%。开腹手术治疗17例,宫腔镜手术4例,宫、腹腔镜联合手术1例,足月妊娠剖宫产术2例。从2005年12月份之前,开腹手术占治疗的64.7%,从2005年12月份开始,药物治疗或者阴道 B 超引导下介入治疗,成为我院宫角妊娠主要的治疗方法,所占比例高达42.9%,而开腹手术则下降至28.6%。结论:宫角妊娠误诊率高,危害大,三维彩色超声明显提高早期确认率,指导临床治疗。药物治疗以及阴道 B 超引导下介入治疗效果满意,可作为宫角妊娠常规的方法,在临床推广应用。Objective： To study the clinical characteristics and the early diagnosis and treatment of uterine horn pregnancy.Methods： A retrospective study was conducted on the clinical data of 40 cases with uterine horn pregnancy admitted and treated in this hospital from January 2003 to March 2007.Results：All 40 cases were cured.The accordance rate of 2 D B- ultrasonic diagnosis was 50% and that of 3D color ultrasonography was 87.5% .There were 17 cases with laparotcmy therapy, 4 cases with hysteroscopy, 1 case with hysteroscopy combing laparoscopy and 2 cases with fullterm pregnant caesarean section.The laparotomy occupied 64.7% of the all therapeutic procedures during the period before December 2005, but it was decreased to 28.6% by the end of 2005 while the drug therapy, vacuum aspiration curettage under B - ultrasonography or sac suction by puncture, with the proportion of 42.9%, have been become the roost important therapeutic procedures for uterine horn pregnancy in this hospital.Conclusion： The misdiagnostic rate of uterine horn pregnancy is very high and it may cause much harmfulness to patients.The 3D color ultrasonography can obviously raise the early diagnostic rate and it may be helpful to clinical treatment.Both of the drug therapy and vacuum aspiration curettage under B- ultrasonography can get satisfactory therapeutic results and they will be expected to be the frost important therapeutic procedures, deserving of the clinical extension.

关 键 词：宫角妊 药物治疗 介入治疗 三维彩色超声 

分 类 号：K714.224[历史地理—历史学]