各孕周宫角妊娠38例临床分析

目的 探讨各孕周宫角妊娠的临床特点、诊断和治疗方法.方法 对2006年1月至2010年8月郑州大学第一附属医院收治的38例宫角妊娠的患者进行回顾性的分析.结果 38例宫角妊娠的患者中,停经38例(100%)、不规则阴道出血27例(71.1%)和腹痛22例(57.9%).宫角妊娠术前诊断困难,误诊率近50%.38例患者中...

Clinical analysis of 38 patients with cornual pregnancy in all gestational age

Objective To discuss the clinical characteristics,diagnosis and treatment of cornual pregnancy in all gestational age.Methods Data of thirty-eight patients with cornual pregnancy who treated in our hospital from January 2006 to August 2010 were analyzed.Results The clinical characteristics of cornual pregnancy were cessation of menstruation(100%),vaginal bleeding(71.1%)and abdominal pain(57.9%).In the 38 patients,30 cases were early pregnancy.4 patients(10.5%) received curettage,one failed which diverted to laparoscopic surgery;2 patients(5.3%) received hysteroscopy surgery and one diverted to laparotomy.In the remaining 24 cases of early pregnancy,12 cases(31.6%) received laparotomy or laparoscopy to remove the pregnancy lesions,12 patients(31.6%) received laparotomy or laparoscopy of cornual resection with / without ipsilateral salpingectomy.There were 3 patients in mid-pregnancy,1 patient received total hysterectomy because of hemorrhagic shock,and the other received abdominal surgery after delivery to remove the placenta in the uterine horn.3 cases were in late pregnancy,2 cases received abdominal surgery to remove the placenta in the uterine horn after vaginal birth.1 patient received the cesarean section and remove the placenta in the uterine horn.There were other special 2 cases:1 patient received hysterectomy,the other one received abdominal surgery to remove the placenta in the uterine horn.All these 38 patients had good prognosis.Conclusions The diagnosis of cornual pregnancy is based on ultrasound and blood revel of β-hCG,the gestational age can up to late pregnancy and the rate of misdiagnosis is high.Operation is the main treatment of cornual pregnancy.