宫颈妊娠一例

Cervical Pregnancy: A Case Report

宫颈妊娠(cervical pregnancy, CP)是受精卵在宫颈内口以下和宫颈粘膜内种植和发育的一种异位妊娠,占所有异位妊娠的比例 < 1%,发病率为1/2500~1/12422。CP的发生率虽然低,但由于其特殊的解剖结构,受精卵着床的位置主要以纤维组织为主,收缩差,使得宫颈妊娠异常凶险。该疾病尚无特定治疗方案,需行个体化治疗。现回顾延安大学附属医院妇科2023年收治的1例子宫动脉栓塞联合清宫术成功治疗宫颈妊娠病例,该病例的临床资料及处理办法可为临床诊治提供参考。

Cervical pregnancy is a kind of ectopic pregnancy in which the fertilized egg is planted and devel-oped below the opening of the cervical cavity and the cervical mucosa, accounting for less than 1% of all ectopic pregnancies, and the incidence is 1/2500~1/12422. Although the incidence of cervical pregnancy is low, due to its special anatomical deconstruction, the implantation position of ferti-lized eggs is mainly fiber tissue, poor contraction, making cervical pregnancy abnormal and dan-gerous. In some severe cases, hysterectomy is necessary and it would be even life-threatening while there is no specific method to treat the disease and individualized. Now, a female diagnosed with cervical pregnancy who was hospitalized in the Yan’an University Affiliated Hospital in 2023 cured by uterine artery embolization combined with curettage is reviewed. The clinical data and man-agement of this case can provide reference for clinical diagnosis and treatment.