子宫肌壁间异位妊娠的诊治  

Diagnosis and treatment of intramural pregnancy

作　　者：魏蔚霞[1] 章蕾[1] 韩明慧[1] 

机构地区：[1]北京大学深圳医院妇科,广东深圳518036

出　　处：《罕少疾病杂志》2009年第4期30-32,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨子宫肌壁间异位妊娠的发病机制、临床特征、诊断和治疗。方法回顾性分析我院近5年收治的2例子宫肌壁间妊娠病例的临床特点。结果2例子宫肌壁间妊娠病例均有先期人流操作史,均表现为人流术后不规则阴道流血,血B-HCG轻度升高,彩超提示子宫肌层异常回声,宫腔镜未见异常。治疗采用开腹局灶病灶切除术。结论人流术是发生肌壁间妊娠的重要病因,该病的术前诊断困难,主要靠手术诊断,治疗以手术切除病灶为主。Objective To identify the clinical features of intramural pregnancy. Methods Retrospective analysis the clinical features on 2 patients admitted to our hospital with intramural pregnancy in 5 years. Results Two patients had a history of a revious dilation and curettage （D＆C）, they all had irregular bleeding after D＆C, with low serum B-HCG level, Ultrasound revealed a mass in the uterus, hysteroscopy demonstrated a normal uterine cavity. Conclusion Intramural ectopic pregnancy is very rare and early detection is difficult. A past history of an artificial abortion is one of the important reasons. At laparotomy,the intramural pregnancy can be diagnosed and treated successfully.

关 键 词：子宫肌壁间妊娠 异位妊娠 诊断 治疗 

分 类 号：R714.22[医药卫生—妇产科学]