残角子宫妊娠行期待治疗至妊娠晚期一例  

A Case of Rudimentary Horn Pregnancy Undergoing Expectant Treatment until the Third Trimester

作　　者：钟佩蕖 招丽坚 邹欣欣 ZHONG Pei-qu;ZHAO Li-jian;ZOU Xin-xin(Department of Obstetrics,The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524003,Guangdong Province,China;Department of Gynecology,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,Guangdong Province,China)

机构地区：[1]广东医科大学附属第二医院产科,广东省湛江市524003 [2]广东医科大学附属医院妇科

出　　处：《国际妇产科学杂志》2025年第1期114-116,共3页Journal of International Obstetrics and Gynecology

摘　　要：残角子宫妊娠(rudimentary horn pregnancy,RHP)是一种罕见的异位妊娠,易导致子宫破裂等严重后果。通过分析1例RHP病例,探讨了期待治疗管理策略及终止妊娠时机。患者因停经27+4周,不规则下腹痛1 d入院,经B超检查确诊为RHP,患者拒绝手术,在严密观察下予抑制宫缩等对症治疗,于孕30+1周因宫缩频繁行剖宫产娩出一活婴。因此,在明确诊断、监护条件良好和手术准备充分的情况下,RHP可以考虑期待治疗,以尽可能获得存活新生儿。Rudimentary horn pregnancy(RHP)is a rare type of ectopic pregnancy,which is prone to serious consequences such as uterine rupture.In this article,we analyzed a case of RHP and discussed the expectant treatment management strategy and the timing of termination of pregnancy.The patient was admitted to the hospital with irregular lower abdominal pain for 1 day at 27+4 weeks of gestation,and was diagnosed with RHP by ultrasound.The patient refused to undergo surgery,and was given symptomatic treatments such as suppression of uterine contractions under close observation.At 30+1 weeks of gestation,a live baby was delivered by cesarean section due to frequent uterine contractions.Therefore,with a clear diagnosis,good monitoring conditions,and adequate surgical preparation,RHP can be considered expectant treatment to obtain as many surviving newborns as possible.

关 键 词：子宫破裂 妊娠 诊断 治疗 病例报告 

分 类 号：R714.22[医药卫生—妇产科学]