宫腔镜在宫颈妊娠治疗中的应用

目的探讨宫腔镜在年轻妇女宫颈妊娠治疗中的临床应用价值。方法18例宫颈妊娠患者应用彩超引导下孕囊内注入MTX 50mg杀胚胎治疗,待胚胎死亡、孕囊坏死后再行宫腔镜检查,用电切环和滚球治疗。结果18例宫颈妊娠病例经该法治疗后均获成功,治愈率100％,平均住院时间13（11～17）d。结论经彩超引导下孕囊内注入MTX杀灭胚胎,降低绒毛活性,减少周围丰富的血供后,宫颈妊娠可行宫腔镜治疗。

The application of hysteroscopy in therapy of cervical pregnancy

Objective To discuss the clinical value of hysteroscopy in therapy of young woman＇s cervical pregnancy. Methods Eighteen cervical pregnancy patients adopted therapy of injection of MTX 50mg into gestational sac under the guidance of color doppler ultrasound to kill the embryo, waiting for the death of the embryo and the necrosis of gestational sac occurred to use hysteroscopy, and cure it with electric ring-shaped dissection and rolling sphere. Results Eighteen cervical pregnancy patients were cured by this method; the cure rate was 100%, and the average hospitalization time was 13 （11-17） d. Conclusion When the injection of MTX into gestational sac under the guidance of color doppler ultrasound killed the embryo, decreased the activity of villi, and reduced rich blood supply, hysteroscopy can be used in therapy of cervical pregnancy.