摘要
目的:探讨宫颈妊娠的诊断及治疗方法。方法:收治宫颈妊娠患者16例,回顾性分析临床资料。结果:6例宫颈妊娠患者被误诊为宫内早孕或先兆流产,行药物流产或人工流产术中大量出血致出血性休克;10例患者经阴道超声检查明确诊断。16例患者中14例行子宫动脉栓塞(UAE)后均有效地控制阴道出血并减少了术中出血,余2例确诊患者拒绝栓塞而全身使用甲氨蝶呤(MTX)治疗,其中1例保守治疗成功,1例失败。结论:阴道超声是诊断宫颈妊娠简单可靠的方法。UAE可以有效控制宫颈妊娠出血,其结合手术或药物治疗是宫颈妊娠出血的有效治疗方法,而单纯MTX治疗的安全性及有效性有待进一步观察。
Objective To analyse the clinical features and explore the diagnosis and treatment of cervical pregnancy.Methods： The clinical data of 16 patients with cervicalpregnancy that admitted in our hospital from 2003-2013 were retrospectively analyzed. Resuhs：6 cases of cervical pregnancy patients were misdiagnosed as intrauterine pregnancy or threatened abortion,they were caused by hemorrhagic shock in medical abortion or induced abortion heavy bleeding.14 cases in 16 were controled bleeding after Uterin artery embolization effectively. The last 2 diagnosied cases confused UAE, in the Systemic methotrexate treatment,one was successfully preserved fertility,the other one lossed.Conclstion：Transvaginal ultrasound diagnosis of cervical pregnancy is a simple and reliable method.UAE is used to control bleeding in cervical pregnancy.Conbine with surgical or MTX,UAE can cure cervical pregnancy safely and effectively. The safety and efficacy in cervial prengnancy＇s treatment by MTX alon must be studied further.
关键词
异位妊娠
子宫颈
子宫动脉
栓塞
甲氨蝶呤
Ectopic Pregnancy
Cervix
Uterin Artery Embolization
Methotrexate
