宫角妊娠误诊为绒毛膜癌12例临床分析

目的 探讨宫角妊娠误诊为绒毛膜癌的原因、鉴别要点和治疗方法.方法 对2008年1月至2011年4月郑州大学第一附属医院妇产科收治的12例误诊为绒毛膜癌的宫角妊娠进行回顾性分析.结果 在12例宫角妊娠中,临床表现为停经12例(100.0％)、不规则阴道出血10例(83.3％)、下腹痛8例(66.7％).宫角妊娠因其临床表...

Clinical analysis of cornual pregnancy misdiagnosed as choriocarcinoma in 12 patients

Objective To discuss the reason,differential diagnosis and treatment of the cornual pregnancy misdiagnosed as choriocarcinoma.Methods The data of 12 patients with cornual pregnancy misdiagnosed as choriocarcinoma were analyzed retrospectively in the First Affiliated Hospital of Zhengzhou University from Jan.2008 to Apr.2011.Results Clinical characteristics were menolipsis with 12 cases(100.0%) ,vaginal bleeding with 10 cases(83.3%) and abdominal pain with 8 cases(66.7%) .Cornual pregnancy was misdiagnosed as interstitial tubal pregnancy,placenta adherence or implantation,choriocarcinoma.Conclusion The diagnosis of cornual pregnancy and choriocarcinoma is based on medical history,color Doppler-Ultrasound and β-human chorionic gonadotrophin(HCG) in blood,the duration of cornual pregnancy is relatively short and surgical treatment is effective for cornual pregnancy.While Choriocarcinoma need the chemotherapy and multiple courses of treatment.