论文部分内容阅读
目的探讨宫角妊娠误诊为绒毛膜癌的原因、鉴别要点和治疗方法。方法对2008年1月至2011年4月郑州大学第一附属医院妇产科收治的12例误诊为绒毛膜癌的宫角妊娠进行回顾性分析。结果在12例宫角妊娠中,临床表现为停经12例(100.0%)、不规则阴道出血10例(83.3%)、下腹痛8例(66.7%)。宫角妊娠因其临床表现的特殊性而易被误诊为输卵管间质部妊娠、胎盘粘连或植入、绒毛膜癌。结论宫角妊娠和绒毛膜癌的诊断均依据病史、彩色多普勒超声和血β-人绒毛膜促性腺激素(β-humanchorionic gonadotrophin,β-HCG),但宫角妊娠的病程相对较短,手术治疗效果好;绒毛膜癌以化疗治疗为主,需多个疗程。
Objective To investigate the causes of misdiagnosis of uterine horn pregnancy as choriocarcinoma and to identify the main points and treatment methods. Methods A retrospective analysis of 12 cases of misdiagnosed as choriocarcinoma of the cornual pregnancy admitted to the Department of Obstetrics and Gynecology, the First Affiliated Hospital of Zhengzhou University from January 2008 to April 2011 was retrospectively analyzed. Results In 12 cases of pregnancy, 12 cases (100.0%) had menopause, 10 cases (83.3%) had irregular vaginal bleeding and 8 cases (66.7%) had lower abdominal pain. Palace of pregnancy due to the particularity of its clinical manifestations and easily misdiagnosed as tubal pregnancy, placenta accreta or implantation, choriocarcinoma. Conclusion The diagnosis of uterine horn pregnancy and choriocarcinoma are based on the history, color Doppler ultrasound and β-human chorionic gonadotrophin (β-HCG), but the duration of uterine horn pregnancy is relatively short, Surgical treatment effect is good; choriocarcinoma to chemotherapy based, requiring multiple courses.