残角子宫妊娠五例临床分析

Clinical analysis of 5 cases of rudimentary horn pregnancy

目的探讨残角子宫妊娠的临床特征、诊断及治疗现状。方法回顾性分析我院2001-2011年收治的5例残角子宫妊娠患者的临床诊治资料。结果 1例未破裂型患者经B超确诊,行腹腔镜手术;1例中期妊娠药物引产失败经剖宫取胎时确诊;3例自发性破裂患者行开腹手术,术中确诊。结论残角子宫妊娠罕见,要提高对本病的认识,及早诊断、及早治疗,且行残角子宫及同侧输卵管切除是主要治疗方案。

Objective To investigate the clinical features, diagnostic criteria and treatment of rudimentary horn pregnancy （RHP）. Methods The clinical data of 5 patients of RHP treated in our hospital from 2001 to 2011 were retrospectively analyzed. Results One patient was diagnosed before rupture through abdominal ultrasound and was cured by laparoscopy. Another one was diagnosed through abdominal surgery after failure in drug inducing-deliv- ery of midterm pregnancy. Three patients occurred spontaneous rupture and were cured through abdominal surgery. Conclusion The incidence of rudimentary horn pregnancy is very low. Early diagnosis and early treatment, excision of rudimentary horn and ipsilateral fallopian tube were the primary therapy for the disease.