子宫角部妊娠的诊断和治疗——附26例分析  

Diagnosis and Treatment of Angular Intrauterine Pregnancy ——An Analysis of 26 Cases

作　　者：杨新民[1] 潘明香[1] 

机构地区：[1]江西省妇幼保健院产科,江西南昌330006

出　　处：《江西医学院学报》2001年第1期64-66,共3页Acta Academiae Medicinae Jiangxi

摘　　要：回顾性分析1989年1月～1999年12月间住院诊治的子宫角部妊娠26例。结果：综合妇科检查和B超影像诊断13例，误诊为异位妊娠11例，其他2例，误诊率50%。治疗措施包括子宫角部加同侧输卵管切除术14例，刮宫5例，次全子宫切除术3例，修补2例，化疗2例。结论：子宫角部妊娠是少见部位的妊娠，综合临床检查、B超影像、腹腔镜检查可提高早期子宫角部妊娠诊断率。治疗应根据病情，采取子宫角部加同侧输卵管切除术和在B超或内镜的引导下刮宫手术为主。Twenty six cases of angular intrauterine pregnancy during 1989～1999 were analyzed retrospectively.Results： Thirteen cases were diagnosed by the combination of gynecologic and ultrasonic examination.Thirteen cases (50%) were misdiagnosed，11 for ectopic pregnancy and 2 for others.The treatments included salpingectomy and ipsilateral cornual resection in 14 cases,curettage in 5 cases,hysterectomy in 3 cases,cornual repair in 2 cases and 2 cases with chemotherapy.Conclusions:The combination of gynecologic,ultrasonic examination and laparoscopy is helpful to early diagnosis of angular intrauterine pregnancy which rarely occurs.Basing upon the nature of the disease,the main therapeutic interventions are salpingectomy plus ipsilateral cornual resection and /or curettage,under the guidance of B ultrasonography or endoscopy.

关 键 词：子宫角部妊娠 部位妊娠 影像学检查 输卵管切除术 

分 类 号：R714.224[医药卫生—妇产科学]