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目的探讨子宫角妊娠的诊断和治疗。方法分析2007~2015年本院收治的71例子宫角妊娠。结果子官角妊娠术前诊断困难,误诊23例,误诊率为32.4%,易被误诊为输卵管妊娠,滋养细胞疾病。71例患者中经腹治疗31例,腹腔镜治疗34例(47.9%),4例行清宫术(10.4%),71例患者均预后良好。结论官角妊娠的诊断主要依据B超,治疗以手术为主,误诊率32.4%。
Objective To investigate the diagnosis and treatment of uterine horn pregnancy. Methods 71 cases of uterine horn pregnancy treated in our hospital from 2007 to 2015 were analyzed. Results son angle pregnancy preoperative diagnosis difficult, misdiagnosed 23 cases, misdiagnosis rate was 32.4%, easily misdiagnosed as tubal pregnancy, trophoblastic disease. Among the 71 patients, 31 cases were treated by abdomen, 34 cases by laparoscopy (47.9%) and 4 cases by curettage (10.4%). All 71 patients had a good prognosis. Conclusion The diagnosis of uterine horn pregnancy mainly based on B-ultrasound, the treatment of surgery-based, misdiagnosis rate was 32.4%.