摘要
目的探讨子宫肌壁间异位妊娠的发病机制、临床特征、诊断和治疗。方法回顾性分析我院近5年收治的2例子宫肌壁间妊娠病例的临床特点。结果2例子宫肌壁间妊娠病例均有先期人流操作史,均表现为人流术后不规则阴道流血,血B-HCG轻度升高,彩超提示子宫肌层异常回声,宫腔镜未见异常。治疗采用开腹局灶病灶切除术。结论人流术是发生肌壁间妊娠的重要病因,该病的术前诊断困难,主要靠手术诊断,治疗以手术切除病灶为主。
Objective To identify the clinical features of intramural pregnancy. Methods Retrospective analysis the clinical features on 2 patients admitted to our hospital with intramural pregnancy in 5 years. Results Two patients had a history of a revious dilation and curettage （D＆C）, they all had irregular bleeding after D＆C, with low serum B-HCG level, Ultrasound revealed a mass in the uterus, hysteroscopy demonstrated a normal uterine cavity. Conclusion Intramural ectopic pregnancy is very rare and early detection is difficult. A past history of an artificial abortion is one of the important reasons. At laparotomy,the intramural pregnancy can be diagnosed and treated successfully.
出处
《罕少疾病杂志》
2009年第4期30-32,共3页
Journal of Rare and Uncommon Diseases
关键词
子宫肌壁间妊娠
异位妊娠
诊断
治疗
intramural pregnancy
ectopic pregnancy
diagnosis
treatment
