子宫角妊娠13例临床分析

Clinical analysis of 13 cases of uterine horn pregnancy

目的:探讨子宫角妊娠的早期诊断,以提高对该病的认识和警惕,减少临床误诊率。方法:回顾性分析我院10年间收治的13例子宫角妊娠,总结其临床表现、诊断、处理。结果:子宫角妊娠占同期异位妊娠的1.35%,术前确诊率约30.7%,易误诊为宫内妊娠、输卵管妊娠。结论:认为血!-HCG、B超、腹腔镜检查对本病的早期诊断有重要意义,避免了如子宫破裂、大出血、胎盘滞留等严重并发症。

Objective：To Study the early diagnosis of uterine horn pregnancy,So as to improve our recognition and guard to this disease and reduce the clinical misdiagnosis rate. Methods：13 cases of uterine horn Pregnancy from January 1995 to january 2005 treated in our hospital were analysed retrospectively. Results：The uterine horn Pregnancy accounted for about 1.35% of all ectopic pregnancy （13/965） in the same Period,its accurate rate of diagnosis was 30.7%（4/13） before operation.The uterine horn Pregnancy was often ntis-diagnosed as intrauterine pregnancy or tubal pregnancy. Conclusion：It is suggested that the blood β-HCG examination, Bultrasonography and laparoscopy Could improve the early diagnostic rate,and avoid the severe complications such as rupture of uterus, hemorrhage and placental remain.