子宫角妊娠18例临床分析

目的　提高对子宫角妊娠的早期诊断水平。方法　回顾性分析我院二十年间收治的 18例子宫角妊娠病例 ,总结其临床表现、诊断、处理。结果　子宫角妊娠占同期异位妊娠的 1.5 6%,术前确诊率为 44 .44 %,易误诊为流产、输卵管妊娠。结论　认为血 β -HCG、B超及腹腔镜检查对本病的早期诊断有重要意义 ,避免了如子宫破裂、胎盘滞留等严重并发症

Clinical analysis of uterine horn pregnancy ( 18 cases)

Objective To improve the early diagnosis level of uterine horn pregnancy.Methods 18 cases of uterine horn pregnancy treated in our hospital from January 1983 to January 2003 were analyseel retrospectively.Results The uterine horn pregnancy accounted of 1.56% all ectopic pregnancy (18/1153),its accurate diagnosis rate before operation was 44.44% (8/18), uterine horn pregnancy often was mis diagnosed as abortion or fallopian tube ectopic pregnancy.Conclusions It is suggested that blood β-HCG, ultrasonography and laparoscopy examination could improve early diagnostic rate in order to avoid severe complications such as rupture of uterus and placental retmains.