宫角妊娠一例报告及文献复习  

Cornual Pregnancy: A Case Report and Literatures Review

作　　者：肖潇 赵葳[1] 姚海洋[1] 滕秀香[1] XIAO Xiao;ZHAO Wei;YAO Hai-yang;TENG Xiu-xiang(Department of Gynecology,Beijing Traditional Chinese Medicine Hospital,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院妇科,北京100010

出　　处：《国际生殖健康／计划生育杂志》2019年第2期130-133,共4页Journal of International Reproductive Health/Family Planning

基　　金：北京市科技计划课题(Z181100001718217);北京市属医院科研培育计划(PZ2018020);北京中医医院院级课题(YJ-201705)

摘　　要：回顾分析1例剖宫产史外院误诊为人工流产不全的宫角妊娠临床资料,并对国内外宫角妊娠的相关文献进行归纳总结。目前宫角妊娠的病因尚不明确,可能与盆腔炎性疾病、生殖器官形态及功能异常等因素有关。宫角妊娠早期诊断较困难,易发生误诊及漏诊,临床中不全流产、过期流产、人工流产不全、清宫不全时应警惕宫角妊娠的发生,孕早期超声检查可提高诊断的准确率。微创手术相较于期待疗法、药物保守治疗、超声引导下清宫术成功率高、风险小,相较于开腹手术创伤小,在宫角妊娠的诊断及治疗中具有优势。A case of cornual pregnancy misdiagnosed as incomplete abortion in another hospital was analyzed retrospectively, and the literatures of cornual pregnancy were reviewed. The etiology of cornual pregnancy may be related to pelvic inflammatory disease, abnormal reproductive organs and other factors. However, it is still not clear. Early diagnosis of cornual pregnancy is difficult, and misdiagnosis and missed diagnosis are common. The cornual pregnancy should be alerted when there are incomplete abortion, expired abortion, induced abortion incomplete, dilation and curettage incomple. The ultrasound examination in early pregnancy can improve the accuracy of diagnosis. Compared with expectant therapy, drug conservative treatment and ultrasound-guided induced abortion, the minimally invasive surgery has a higher success rate and lower risk. It is understandably less invasive than laparotomy. Therefore, the minimally invasive surgery should be advised in the diagnosis and treatment of cornual pregnancy.

关 键 词：宫角妊娠 诊断 宫腔镜 病例报告 

分 类 号：R714.224[医药卫生—妇产科学]