宫颈妊娠12例诊治分析

Analysis on diagnosis and treatment of 12 cases with cervical pregnancy

目的:探讨宫颈妊娠的诊断和治疗。方法:回顾性分析宜昌市第二人民医院收治的12例宫颈妊娠患者的临床资料。结果:12例患者中3例行B超检查,9例行彩色多普勒超声检查,10例患者行血清β-h CG检查。1例初诊被误诊为难免流产。10例患者中单纯手术治疗1例,9例行药物+手术治疗,2例行介入+手术治疗。除1例切除子宫外,其余11例治疗均成功保留子宫。结论:超声检查和血清β-h CG是宫颈妊娠的主要诊断方法,药物+手术以及介入+手术是治疗宫颈妊娠的有效方法,可保留患者生育功能。

Objective： To explore the diagnosis and treatment of cervical pregnancy. Methods： The clinical data of 12 cases with cervical pregnancy from the Second Peoples Hospital of Yiehang were analyzed retrospectively. Results： Among 12 cases, 3 cases underwent type - B ultrasonography and 9 cases underwent color Doppler uhrasonography ; 10 cases underwent serum 13 - human chorionie gonadotropin （ β -hCG） test. One case was misdiagnosed as inevitable abortion. Among 12 cases, one case was treated by surgery, nine cases were trea- ted by drugs combined with surgery, two eases were treated by intervention therapy combined with surgery. Except one case undergoing hys- terectomy, the other 11 eases reserved uteri successfully. Conclusion： Ultrasonography and serum β - HCG test are the main diagnostic methods for cervical pregnancy, drugs combined with surgery and intervention therapy combined with surgery are effective methods to cure cervical pregnancy, which can reserve reproductive funetion of these cases.