宫角妊娠并胎盘植入引起子宫破裂一例并文献复习

Uterine Rupture Caused by Cornual Pregnancy Combined with Placenta Implantation:A Case Report and Literature Review

宫角妊娠是一种少见的特殊类型异位妊娠,因其位置特殊极易漏诊,继续妊娠可能引起各种并发症,如流产、胎盘植入和子宫破裂等。穿透性胎盘植入更是产科少见的并发症,当宫角妊娠合并胎盘植入时,极易引起子宫破裂而发生大出血危及母儿生命。现报道吉林大学第二医院收治的1例宫角妊娠并胎盘植入引起子宫破裂的病例资料,并复习相关文献。探讨其发病原因、诊断和治疗方法,为临床诊断及治疗提供思路。

Cornual pregnancy is a rare type of ectopic pregnancy, it could be easily missed because of its special location. To continued pregnancy may cause various complications such as miscarriage, placenta implantation and uterine rupture, etc.Penetrating placenta implantation is a more uncommon complication in obstetrics. When cornual pregnancy is combined with placenta implantation, it is very likely to cause uterine rupture and massive bleeding that endangers the lives of the mother and the infant. Here we report a case of uterine rupture caused by a cornual pregnancy combined with placenta implantation in the Second Hospital of Jilin University, and reviewed relevant literature. We investigate the causes, diagnosis and treatment of the disease, and provide ideas for clinical diagnosis and treatment.