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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。
Objective To investigate the diagnosis and treatment of uterine horn pregnancy. Methods A retrospective analysis was performed on 42 cases of corner pregnancy admitted to our hospital from January 2004 to February 2009. Results For the first time, 18 cases were diagnosed as corner pregnancy or ectopic pregnancy, accounting for 42.9%. Twenty-four patients (57.1%) were corrected or accidentally discovered after the first misdiagnosis. In the B ultrasound and endoscopic surveillance descending curettage in 9 cases, accounting for 21.4%; Laparoscopic incision embryo removal in 26 cases, accounting for 61.9%, gestational age were less than 10 weeks; transcervical incision debridement Or corner wedge resection + ipsilateral tubal resection in 7 cases, accounting for 16.7%, gestational age were greater than 10 weeks. Conclusion The early diagnosis rate of uterine horn pregnancy needs to be improved. In some cases in the B- or endoscopic curettage curettage, gestational weeks less than 10 weeks feasible laparoscopic surgery.