子宫角部妊娠的诊断治疗及误诊分析  

The diagnosis,treatment and analysis of misdiagnosis of angular intrauterine pregnancy

作　　者：刘荣[1] 居文惠[1] 王绍珍[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院妇产科,湖北荆州434020

出　　处：《中国优生与遗传杂志》2011年第1期70-71,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨子宫角部妊娠的诊断和治疗。方法对本医院妇产科于2004年1月至2009年2月收治的42例角部妊娠进行回顾性分析。结果首次诊断为角部妊娠或异位妊娠者18例,占42.9%;首次误诊之后得以纠正或意外发现者24例,占57.1%。在B超及内镜监视下行刮宫术成功9例,占21.4%;腹腔镜下角部切开胚胎取出术26例,占61.9%,孕周均小于10周;经腹角部切开病灶清除术或角部楔型切除+同侧输卵管切除术7例,占16.7%,孕周均大于10周。结论子宫角部妊娠的早期诊断率尚待提高。对部分病例可在B超或内镜监视下行刮宫术,孕周小于10周可行腹腔镜手术。Objectives： To explore the diagnosis and treatment of angular intrauterine pregnancy.Methods： To analyze retrospectively 42 cases of angular intrauterine pregnancy at Afflicated Jingzhou hospital Huazhong University of Science and Technology Tongji medical college from January 2004 to February 2009.Results： 18 cases （42.9% ） were diagnosed initially as angular intrauterine pregnancy or ectopic pregnancy,24 cases （57.1% ） were misdiagnosed initially followed by confirmation or found unexpectedly.9 cases （21.4% ） were treated with dilation and curettage under guidance of ultrasound or Laparoscopy,26 cases （61.9% ） whose gestational age is less than 10 weeks were treated with removal of gestational sac at laparoscopy,7 cases （16.7% ） whose gestational age is more than 10 weeks were treated with removal of gestational contents or cornual resection and salpingectomy by laparotomy.Conclusions： Early diagnosis of angular intrauterine pregnancy should continue to improve.Some patients can be treated with dilation and curettage under guidance of ultrasound or Laparoscopy,patients whose gestational age is less than 10 weeks can be treated with laparoscopic operation.

关 键 词：子宫角部妊娠 诊断 误诊 治疗 腹腔镜 

分 类 号：R714.22[医药卫生—妇产科学]