子宫角部妊娠的诊断治疗及误诊分析

目的探讨子宫角部妊娠的诊断和治疗。方法对本医院妇产科于2004年1月至2009年2月收治的42例角部妊娠进行回顾性分析。结果首次诊断为角部妊娠或异位妊娠者18例,占42.9%;首次误诊之后得以纠正或意外发现者24例,占57.1%。在B超及内镜监视下行刮宫术成功9例,占21.4%;腹腔镜下角部切开胚胎取出术26例,占61.9%,孕周均小于10周;经腹角部切开病灶清除术或角部楔型切除+同侧输卵管切除术7例,占16.7%,孕周均大于10周。结论子宫角部妊娠的早期诊断率尚待提高。对部分病例可在B超或内镜监视下行刮宫术,孕周小于10周可行腹腔镜手术。

The diagnosis,treatment and analysis of misdiagnosis of angular intrauterine pregnancy

Objectives: To explore the diagnosis and treatment of angular intrauterine pregnancy.Methods: To analyze retrospectively 42 cases of angular intrauterine pregnancy at Afflicated Jingzhou hospital Huazhong University of Science and Technology Tongji medical college from January 2004 to February 2009.Results: 18 cases (42.9% ) were diagnosed initially as angular intrauterine pregnancy or ectopic pregnancy,24 cases (57.1% ) were misdiagnosed initially followed by confirmation or found unexpectedly.9 cases (21....