宫角妊娠早期诊断与治疗分析  

An analysis of early diagnosis and treatment of cornual pregnancy

作　　者：陈忠[1] 许建娟[1] 冯一中[2] 

机构地区：[1]江苏省无锡市妇幼保健院,江苏无锡214002 [2]江苏省苏州大学医学院,江苏苏州215006

出　　处：《中国妇幼健康研究》2010年第6期823-824,共2页Chinese Journal of Woman and Child Health Research

摘　　要：目的 探讨宫角妊娠的早期诊断和治疗效果.方法 回顾性分析67例经手术和病理证实宫角妊娠患者的临床资料.结果 术前诊断宫角妊娠47例,误诊输卵管妊娠20例,误诊率为29.85%（20/67）.超声、宫腔镜、腹腔镜检查用于早期诊断的符合率分别为81.03%（47/58）、100.00%和100.00%.宫腔镜、腹腔镜治疗的成功率均为100.00%,达到了剖腹手术的效果.结论 宫角妊娠临床诊断困难,误诊率高.宫腔镜、腹腔镜早期诊断确切,治疗微创效优,值得临床推广,尤其适用于要求保留生育能力的年轻患者.Objective To investigate early diagnosis rate and therapeutic effect for cornual pregnancy. Methods The clinical data of 67 patients with cornual pregnancy confirmed by surgery and pathology were analyzed retrospectively. Results 47 of 67 cases of cornual pregnancy were correctly diagnosed before hysteroscopy and laparoscopy and other 20 cases were misdiagnosed as tubal pregnancy with a misdiagnosis rate of 29.85%. The diagnostic accordance rates of ultrasonography, hysteroscopy and laparoscopy were 81.03% （47/58） , 100.00% and 100.00% respectively. The success rates of treatment of hysteroscopy and laparoscopy were both 100.00% , which was same as that of laparotomy. Conclusion The diagnosis of cornual pregnancy is often very difficult so the misdiagnosis rate is high. The early diagnosis could be determined by hysteroscopy or laparoscopy. Atso, hysteroscopy and laparoscopy are microinvessive and their clinic therapeutic effects are significant for cornual pregnancy and they can be popularized in clinical practice, especially they are suitable for young patients who request to preserve their fertility.

关 键 词：宫角妊娠 诊断 治疗 宫腔镜 腹腔镜 

分 类 号：R714.224[医药卫生—妇产科学]