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目的:探讨宫颈妊娠的诊断与处理方法。方法:对我院14例宫颈妊娠进行临床分析。结果:9例诊断为宫颈妊娠,3例误诊为难免流产,2例误诊为妊娠滋养细胞疾病,误诊率达35.7%(5/14)。10例经甲氨蝶呤(MTX)保守治疗后痊愈出院,4例作全子宫切除。结论:宫颈妊娠为临床少见疾病,误诊率高,对妇女危害大,临床医生应提高对该病的认识和警惕,正确诊断是正确治疗该病的关键。
Objective: To investigate the diagnosis and treatment of cervical pregnancy. Methods: Clinical analysis of 14 cases of cervical pregnancy in our hospital. Results: Nine cases were diagnosed as cervical pregnancy, 3 cases were misdiagnosed as unavoidable abortion and 2 cases misdiagnosed as gestational trophoblastic disease. The misdiagnosis rate was 35.7% (5/14). 10 cases methotrexate (MTX) after conservative treatment was discharged, 4 cases of hysterectomy. Conclusions: Cervical pregnancy is a rare clinical disease with high misdiagnosis rate and great harm to women. Clinicians should raise their awareness and vigilance on this disease. Correct diagnosis is the key to correct treatment of this disease.