子宫肌壁间妊娠8例分析

Clinical Analysis of 8 Cases of intramural pregnancy

目的:探讨子宫肌壁间妊娠的诊断和治疗方法。方法:回顾性分析8例子宫肌壁间妊娠的临床资料。结果:8例患者通过手术清除妊娠病灶、修补子宫及甲氨喋呤保守治疗后临床治愈,无并发症发生。结论:阴道彩超的应用,配合血HCG动态观察,可有效提高早期诊断率。甲氨喋呤经宫腔介入治疗肌壁间妊娠具有创伤轻微、可重复性强、疗效高、见效快、并发症少、简便易行等特点,极具推广应用价值。

Objective：To investigate the diagnosis and treatment of intramural pregnancy. Methods：A retrospective analysis was conducted on 8 cases of intramural pregnancy. Results：The patient preserved her fertility through successful repair of the uterus and conservative methotrexate chemotherapy, no complications. Conclusion：Early detection of intramural pregnancy with the use of transvaginal ultrasound （TVS） and monitoring of serum human ehorionic gonadotropin（HCG） is important. Interventional therapy with methotrexate is one of the effective treatments in intramural pregnancy, has the peculiarities of slight trauma , good repetition, effective cure, quick effect, few complication, and easy performance, which is well worth application and dissemination.