宫角妊娠32例临床分析

Clinical analyses of 32 cases of cornual pregnancy

目的:探讨宫角妊娠的临床特点、诊断和治疗。方法:采用回顾性方法对32例宫角妊娠进行分析。结果:宫角妊娠占同期异位妊娠总数的2.1%,宫角妊娠误诊率高,超声、宫腔镜、腹腔镜等可用于早期诊断,宫腔镜、腹腔镜或经腹手术治疗成功率高。结论:宫角妊娠的诊断主要依据超声,治疗以手术为主,治疗方案个体化。

Objective:To explore the clinical features,diagnosis and treatment of uterine horn pregnancy.Methods:A retrospective method was used to analyze 32 cases of uterine horn pregnancy.Results:The number of cornual pregnancy take 2.1%in the total number of ectopicpregnancy.Misdiagnosisrate of cornual pregnancy was higher.The ultrasonography,hysteroscope and laparoscope were used for delecting the clinical diagnosis.The treatment of hysteroscope or laparoscope showed the successful rate was higher.Conclusion:Angular intrauterine pregnancy was rate and the incidence of misdiagnosis was high.If misdiagnosed,its results were relatively severe.The diagnosis of angular intrauterine pregnancy mainly relied on preoperative B ultrasound.Operation was the main treatment and personal treatment was individualized.