宫内宫颈复合妊娠1例  

Cervical heterotopic pregnancy:A case report

作　　者：慕庆玲 刘莹[1] 王淑萍 栾少红[1] 李婧 范俊[1] MU Qingling;LIU Ying;WANG Shuping;LUAN Shaohong;LI Jing;FAN Jun(Department of Gynecology and Obstetrics,Qingdao Municipal Hospital,Qingdao Shandong 266000;Department of Gynecology and Obstetrics,Qingdao West Coast New District People’s Hospital,Qingdao Shandong 266400,China)

机构地区：[1]青岛市市立医院妇产科,山东青岛266000 [2]青岛西海岸新区人民医院妇产科,山东青岛266400

出　　处：《中南大学学报（医学版）》2021年第2期212-216,共5页Journal of Central South University ：Medical Science

摘　　要：复合妊娠发病率低,早期诊断困难。青岛市市立医院2019年收治1例宫内妊娠合并宫颈妊娠患者。该患者以停经后异常阴道流血为主诉入院,误诊为单纯宫内妊娠后行清宫术,术中发生大出血,行子宫动脉栓塞术止血,术后宫颈残留妊娠组织自行坏死脱落,血β-人绒毛膜促性腺激素水平及宫颈外观逐渐恢复正常。复合妊娠容易漏诊和误诊,应尽早明确诊断,选择性子宫动脉栓塞术是预防和治疗大出血的有效手段。Heterotopic pregnancies are rare and difficult to be diagnosed early.A patient with combined intrauterine pregnancy and cervical pregnancy was admitted in Qingdao Municipal Hospital in 2019.The patient complained of abnormal vaginal bleeding after menopause and was misdiagnosed as simple intrauterine pregnancy.She underwent artificial abortion and suffered intraoperative hemorrhage.To stop bleeding,she received the treatment of uterine artery embolization immediately.Afterwards,cervical residual pregnancy tissues started necrosis,bloodβ-human chorionic gonadotropin level and the cervix appearance gradually returned to normal.This report suggests that cervical heterotopic pregnancy inclines to be mis diagnosed.Correct diagnosis should be made as soon as possible.Selective uterine artery embolization is an effective measure to prevent and treat massive bleeding.

关 键 词：复合妊娠 宫颈妊娠 子宫动脉栓塞术 

分 类 号：R713.8[医药卫生—妇产科学]