宫角妊娠患者不同治疗方式的探讨

Uterine horn pregnancy patients with different treatments

目的探讨停经时间、孕囊大小及绒毛膜促性腺激素β-亚基(β-HCG)结果对宫角妊娠治疗方式选择的影响。方法收集宫角妊娠患者45例临床资料,对其年龄、停经时间、孕囊大小、β-HCG结果及治疗方式的选择进行回顾性分析。结果 45例患者中,经腹手术组13例(28.26%),腔镜手术组12例(26.08%),B超引导下吸宫组20例(43.48%),各组平均停经时间分别为(50.85±15.62)d,(50.17±9.18)d,(52.35±7.49)d;各组B超检查孕囊平均直径分别为(26.56±11.51)mm,(31.92±14.90)mm,(18.71±8.43)mm;入院时平均β-HCG分别为17944.25 IU/L,20966.13 IU/,20524.59 IU/L。结论对于宫角妊娠患者,在阴道B超检查提示孕囊小于2 cm时,可尝试在B超引导下行吸宫术治疗;停经时间,β-HCG数值大小对治疗方式的选择并无特殊相关性。

Objective To explore the effect of stop time, gestational sac size and β-HCG for the treatment modalities of cornual pregnancy. Methods Forty-six cases were slected and analyzed retrospectively,including age, menopause time,gestational sac size, HCG results and treatment modalities. Results Among 45 patients, 13 cases were abdominal surgery group （28.26%） ,endoscopic surgery group was 12 cases （26.08%） ,B ultrasound -guided aspiration Palace group was 20 patients （43.48%）. The average time of menopause were （50.85 ± 15.62）d, （50.17 ± 9.18）d, （52.35 ± 7.49） d; the average diameter of B-ultrasound gestational sac were （26.56 ±11.51 ） ram, （ 31.92 ± 14.90） ram, （ 18.71± 8.43 ） mm ; the average β-HCG of admission were 17944.25 IU / L, 20966.13 IU / ,20524.59IU / L. Another one patient was menopause four month, due to rupture of the uterine horn pregnancy did emergency surgery. Condusions For patients with uterine horn pregnancy,if gestational sac is smaLLer than 2cm by B ultrasound,you can try the B-guided aspiration of uterus therapy; menopause time and β-HCG manerical size have no significant for the selection of treatment.