宫角妊娠的早期诊断和治疗

Early diagnosis and treatment of cornual pregnancy

目的探讨宫角妊娠的早期诊断与治疗方法。方法对2008年1月—2010年6月在郑州市妇幼保健院收治的43例未破裂型宫角妊娠患者的临床资料进行回顾性分析。结果 43例宫角妊娠患者中,27例在宫腔镜定位下负压吸引成功;5例在超声引导下负压吸引成功;7例在腹腔镜下经阴道负压吸引成功;2例因宫角肌层较薄2~3mm,用甲氨喋呤化疗同时口服米非司酮3d后在超声指导下负压吸引成功;2例患者在超声监护下妊娠至足月。结论超声检查对宫角妊娠的早期诊断及鉴别诊断具有重要的临床价值;宫角妊娠治疗呈多样化,以求用最小的损伤途径保持生殖器官完整性。

Objective To investigate the early diagnosis and treatment of cornual pregnancy.Methods The clinical data of 43 cases of unruptured cornual pregnancy from January 2008 to June 2010 were retrospectively analyzed.Results Totally 43 cases of cornual pregnancy,27 cases were curettaged under hysteroscopy.5 cases were curettaged under ultrasound.7 cases were curettaged under the laparoscopy form vagina.2 cases of 2~3mm cornual muscle,with methotrexate chemotherapy and non-oral-meter Division Ketones under ultrasound 3 days were curettaged.2 cases were term pregnancy under the supervision of the ultrasound.Conclusions Ultrasonography has important clinical value in the early diagnosis and differential diagnosis of the cornual pregnancy;Treatment of cornual pregnancy has diverse ways in order to maintain with minimal damage to genital integrity.