宫颈妊娠21例临床分析

Clinical Analysis on 21 Cases of Cervical Pregnancy

目的探讨宫颈妊娠的诊断、治疗以及进展。方法对10年来我院宫颈妊娠患者进行临床分析。结果10年来我院21例宫颈妊娠,13例氨甲蝶呤+米非司酮保守治疗成功。3例选择性动脉栓塞术(TSAE)治疗成功,5例切除子宫。结论宫颈妊娠应早期诊断、早期治疗,选择性动脉栓塞可为宫颈妊娠治疗提供切实可行的治疗手段,保留患者子宫,提高生活质量。

Objective To probe into the diagnosis, treatment and advancement fcervical pregnancy. Methods To give a clinical analysis of the cervical pregnancy cases in Hainan People＇s Hospital in the last 10 years. Results There have been 21 cases of cervical pregnancy in our hospital in the last 10 years. 13 cases have been treated successfully by MTX＋Ru486 conservative treatment. 3 cases successful by TSAE and 5 cases have had the uteruses cut. Conclusions In order to reduce the times operating on the uterus cavity, cervical pregnancy should be diagnosed and treated as early as possible. TASE provides a feasible means to treat cervical pregnancy, which can retain the patients＇ uteruses and improve their living quality.