宫角妊娠14例临床分析  

The chinical analyze of 14 patients on angular intrauterine pregnancy

作　　者：朱旭雯[1] 罗中明[1] 郭振仪[1] 黎平[1] 李冬梅[1] 阮晓红[1] 

机构地区：[1]广东江门市中心医院,广东江门529000

出　　处：《海南医学》2004年第1期23-24,共2页Hainan Medical Journal

摘　　要：目的　探讨宫角妊娠的临床特征、早期诊断与治疗。方法　回顾性分析我院 1992年 -2 0 0 3年诊治的 14例宫角妊娠的临床资料。结果　宫角妊娠临床症状多有停经史、腹痛、不规则阴道流血 ,子宫患侧宫角突起或宫旁包块。 4例术前B超已明确诊断 ,5例术前诊断为异位妊娠 ,3例因内出血而行剖腹探查 ,术后诊断为宫角妊娠破裂 ,2例因“盆腔包块” ,术中探查为陈旧性宫角妊娠。结论　宫角妊娠误诊率较高 ,早期诊断、及早治疗对病人预后极为重要。Objective To explore the clinical pathologic characteristics、prognostic factors and treatment of angular intrauterine pregnancy(AIP).Methods From 1992 to 2003,the clinical in formation of 14 AIP were retrospectively analyzed.Results The most frequent symptoms were abdominal pain、abnormal vaginal bleeding and pelvic cavity masses.4 of 14 patients were diagnosed AIP by B ultrasound before operation,an 5 patients were ectopic pregnancy.3 patients were abdominal cavity probing for bemorrhage,that were diagnosed the rupture of AIP during the operation.We found 2 patients were absolute rupture of AIP during the operation,that were diagnoood pelvic cavity masses.Conclusions Misdiagnosis rate of AIP was high.Early diagnosis and treatment were important on prognosis of patients.

关 键 词：宫角妊娠 临床特征 早期诊断 治疗 预后 剖腹探查 腹腔镜 

分 类 号：R714.224[医药卫生—妇产科学]