摘要
目的:对5例宫颈妊娠的诊断治疗进行分析探讨方法:回顾性分析5例宫颈妊娠病例,讨论其结局及介绍几种保守治疗的方法结果:2例明确诊断者用MTX+米非司酮并辅以中药保守治疗成功;3例误诊者清宫时阴道大量出血,2例行子宫动脉栓塞治疗、1例行宫颈纱布填塞后均再行MTX药物保守治疗成功。结论B超对宫颈妊娠的早期诊断有重要价值,早期确诊药物保守治疗、宫颈妊娠大出血时子宫动脉栓塞治疗避免了子宫切除,保全了患者的生育功能。
Objective：To approach the diagnositic and treated method of cervical pregnancy.Method To retrospective analysis 5 cases cervical pregnancy and to compare the diagnositic and treated result.Result 2 cases final diagnosis cervical pregnancy by B ultrasound were succeed treatment using MTX,mifepristone and traditional Chinese medicine.The three misdiagnosed cases occured vagin hemorrhea during scraping uterus. 2 case cured by uterine artery embolism.1 case cured by cervix gauze padded and MTX.Conclusion B ultrasound have significant value to early diagnosis cervical pregnancy.Early final diagnosis and expectant treatmen using drug can avoid scraping uterus.Uterine artery embolism treating cervical pregnancy vagin hemorrhea can avoid hysterectomia and reserve patient breed function
关键词
宫颈妊娠
B超
保守治疗
cervical pregnancy
expectant treatment
