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目的:对我院收治的1例宫内并宫角妊娠患者采取超声介入配合中西药物杀胚保胎治愈,总结治疗体会。方法:回顾性分析我院2016年1月30日收治的1例宫内并宫角妊娠患者的临床资料,行超声介入治疗配合相关的中西药物杀胚保胎得以痊愈,探讨治疗过程及临床特点,并总结宫角妊娠的诊断特点,为临床治疗提供可靠依据。结果:术后30min后阴道B超示宫内妊娠胎心良好,宫角妊娠囊明显缩小,内见散在强光点,子宫直肠陷凹见15×15mm液性暗区;术后7d超声显示宫角妊娠囊消失,宫内妊娠胎心126次/min,胚胎发育良好。结论:采取超声介入治疗配合中西药物辅助,有效治愈宫内并宫角妊娠,达到杀胚保胎的效果,为此类患者提供一种创伤小、简单、安全的治疗新思路。
Objective: To treat 1 case of intrauterine and uterine horn pregnancy in our hospital to take ultrasound intervention with Chinese and Western drugs to kill embryos to cure, summarize the treatment experience. Methods: A retrospective analysis of our hospital on January 30, 2016 admitted to a case of intrauterine and Palace of pregnancy in patients with clinical data, the line of ultrasound interventional treatment with the relevant Chinese and Western drugs to kill embryos to be cured, to explore the course of treatment and clinical features , And summarizes the diagnostic characteristics of cornual pregnancy, providing a reliable basis for clinical treatment. Results: 30 min after operation, intrauterine pregnancy showed good fetal heart rate, intrauterine gestational sac constriction was significantly reduced, see the see scattered in the light spot, uterine rectum depression see 15 × 15mm liquid dark area; Angle disappeared gestational sac, intrauterine fetal heart rate 126 times / min, embryonic development is good. Conclusion: Ultrasound-assisted intervention with Chinese and Western medicine can effectively cure intrauterine and palace horn pregnancy and achieve the effect of killing embryo and fetus. It offers a new idea for the treatment of small, simple and safe trauma patients.