子宫部位异位妊娠29例的临床治疗报告  

In view of the ectopic pregnancy:clinical features and treatment

作　　者：寇莹[1] 

机构地区：[1]河南省永城市人民医院,河南永城476600

出　　处：《求医问药（下半月刊）》2011年第9期82-82,共1页Seek Medical and Ask The Medicine

摘　　要：目的:探讨子宫部位异位妊娠的临床特征和处理对策。方法:回顾分析2003年6月～2010年4月间本站诊治的29例子宫部位异位妊娠患者的临床资料。结果:29例患者初诊确诊8例,误诊21例,误诊率72.4%。24例患者经氨甲喋呤(MTX)治疗外,同时给予清宫术或宫腔镜下病灶清除术保守治疗,取得成功,成功率82.76%。余5例因难以控制的大出血行经腹病灶清除术联合子宫修补术或全子宫切除术。结论:子宫部位异位妊娠容易误诊,超声检查是诊断的主要方法。保守治疗安全、有效,可保留生育能力。氨甲喋呤治疗联合清宫术可作为治疗子宫部位异位妊娠的主要方法。Objective：To explore the clinical features of ectopic pregnancy and countermeasures.Methods： retrospective analysis of 2003 Tune -2010 April the station and 29 cases clinical data of patients with ectopic pregnancy.Results：29 cases of patients with newly diagnosed diagnosed in 8 cases,21 cases were misdiagnosed, misdiagnosis rate 72.4%. In 24 patients treated with methotrexate （MTX） treated with curettage or excision under hysteroscope successful conservative treatment,the success rate of 82.76%.More than 5 cases due to uncontrollable bleeding via abdominal debridement combined with uterine repair surgery or hysterectomy. Conclusion：Uterine ectopic pregnancy misdiagnosed easily,ultrasound examination is the main method of diagnosis. Conservative treatment is safe and effective,can preserve fertility.Methotrexate therapy plus curettage in the treatment of the ectopic pregnancy methods.

关 键 词：子宫部位异位妊娠 子宫切口妊娠 子宫峡部妊娠 宫颈妊娠 氨甲喋吟 

分 类 号：R714.22[医药卫生—妇产科学]