宫颈妊娠保守治疗诊治分析  

Diagnostic analysis of conservative treatment of cervical pregnancy

作　　者：付婷[1] 

机构地区：[1]苏州市立医院本部妇产科,江苏215000

出　　处：《齐齐哈尔医学院学报》2015年第16期2372-2373,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨宫颈妊娠的临床表现、诊断及治疗。方法回顾性分析6例宫颈妊娠患者的临床资料及诊治情况。结果 6例患者中4例采用甲氨蝶呤妊娠囊局部注射成功,药物联合超声引导下宫颈吸刮术成功1例,1例采用甲氨蝶呤妊娠囊局部注射及双侧子宫动脉栓塞灌注,术后行利凡诺引产、羊膜腔穿刺抽取羊水诱发宫缩,保守治疗成功。结论充分认识宫颈妊娠的临床特征有利于早期诊断,保守性治疗是治疗宫颈妊娠较为安全可靠的方法,能保留患者的生育功能。Objective To explore the clinical features , diagnosis and treatment of cervical pregnancy . Methods Retrospective analysis on the clinical data of 6 patients with cervical pregnancy were done . Results 4 cases among 6 were given the conservative treatment of methotrexate pregnancy capsule local injection.One case was recovered through ultrasound-guided curettage after medicine care .One patient was given methotrexate pregnancy capsule local injection , uterine artery embolization and perfusion , then use induction of labor by rivanol and amniocentesis to induce labour , The conservative surgery was successful .Conclusions Sufficient understanding of clinical characteristics of cervical pregnancy is benefit for early diagnosis and treatment.Conservative surgery is safe and reliable treatment for cervical pregnancy , which can preserve reproductive function of patients .

关 键 词：宫颈妊娠 保守治疗 甲氨蝶呤 

分 类 号：R714.226[医药卫生—妇产科学]