子宫角部妊娠45例临床分析  

A clinical analysis of 45 cases of angular intrauterine pregnancy

作　　者：张水蓉[1] 

机构地区：[1]荆州市中心医院妇产科,湖北荆州434020

出　　处：《中国优生与遗传杂志》2013年第7期85-86,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨子宫角部妊娠的诊疗经验。方法对我院近10年收治的45例宫角妊娠病人进行回顾性研究。结果合并有危险因素者38例,占84%。首次诊断即有"异位妊娠"或"宫角妊娠"证据者21例,占47%;首次误诊之后得以修正或意外发现者24例,占53%。33例行宫角部切开取胚术,占73%;12例保守治疗,占27%。结论宫角妊娠的早期诊断率尚待提高,对部分病例可保守治疗。Objective： To sum up experience in diagnosis and management of angular intrauterine pregnancy（AIP）.Methods： Clinical data of 45 pregnant women with AIP admitted in our hospital in recent 10 years were retrospectively analyzed.Results： 38 women with AIP were associated with several risk factors.accounting for 84% of the total.21 of 45 patients had evidences of ectopic pregnancy（EP） or AIP at the first visit.and the other 24 women were misdiagnosed at the first visit then their diagnoses were revised. or their AIP was found accidentally in management of other diseases.accounting for 53%.33 women received the horn of uterus incision embryo-taking surgery for her AIP,accounting for 73%.While the rest 12 women received conservative treatment.accounting for 27%.Conclusion： The accuracy in early diagnosis of AIP should be improved.and conservative treatment can be used for some cases.

关 键 词：子宫角部妊娠 病因学 诊断 治疗 B超 

分 类 号：R714.22[医药卫生—妇产科学]