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目的探讨宫角妊娠的诊断和治疗体会。方法对我院2006年～2011年收治的10例宫角妊娠患者的临床资料进行回顾性分析。结果宫角妊娠症状、体症缺乏典型的临床表现,早期和输卵管间质部妊娠不易区分,易被误诊,超声、宫腔镜、腹腔镜有助于明确诊断,治疗方法有药物流产必要时在B超监测下清宫、直接在B超或腹腔镜监视下清宫、剖腹探查,腹腔镜下宫角切除修补术。结论宫角妊娠为一类特殊部位的妊娠,因其部位特殊,诊断有一定困难,宫角部血供丰富,一旦发生破裂易发生腹腔内大出血,早期诊断并选择恰当的治疗方法其预后良好。
Objective To investigate the diagnosis and treatment of uterine horn pregnancy. Methods The clinical data of 10 cases of cornual pregnancy admitted to our hospital from 2006 to 2011 were analyzed retrospectively. Results palace corner pregnancy symptoms, physical illness lack of typical clinical manifestations, early and tubal interstitial pregnancy is not easy to distinguish, easily misdiagnosed, ultrasound, hysteroscopy, laparoscopy help to confirm the diagnosis and treatment of medical abortion if necessary in the B-monitoring under the Qing, directly under the B-or laparoscopic surveillance of the Qing, laparotomy, laparoscopic hysterectomy repair. Conclusion Cornual pregnancy is a special type of pregnancy. Due to its special site, it is difficult to diagnose it. The blood supply in the corner of the palace is rich. Once it breaks, intraperitoneal hemorrhage is easy to occur. Early diagnosis and proper treatment are recommended.