残角子宫妊娠12例临床分析

目的:分析12例残角子宫妊娠的临床特征及处理,总结认识与体会。方法:采用回顾性方法对12例残角子宫妊娠的临床特征及处理进行分析。结果:残角子宫妊娠的发生率低,但误诊率高。临床特征:有明显停经史,多于妊娠4～5个月出现剧烈下腹痛伴休克。结论:降低残角子宫妊娠误诊率的关键在于详细询问病史,认真查体,并于早孕时行B超检查确定妊娠部位。治疗以手术切除残角子宫为主。

Clinical analysis of 12 case of pregnancy in rudimentary horn

Objective: To analyse the clinical feature and treatment of 12 cases of pregnancy in rudimentary horn and summarize realization and comprehension. Methods: To analyse the clinical feature and treatment of 12 cases of pregnancy in rudimentary horn by adopting retrospective methods. Results:Low incidence of pregnancy in rudimentary horn,high rate of erroneous diagnosis. The clinical feature were cessation of menstruation and severe belly-ache with shock which happened during the period of 4-5months of pregnancy. Conclusion: The key to lowering the rate of erroneous diagnosis of pregnancy in rudimentary horn lies in inquiring conditions of a patient in detail, examining carefully and having a B ultrasonography examination during early pregnancy to make sure the part of pregnancy. The method of treatment is excising rudimentary horn.