201849例宫角妊娠诊治分析

6826654

　　【摘要】目的：分析10年来宫角妊娠的诊治变化特点。 方法：回顾性分析2001年1月至2010年12月间49例宫角妊娠患者的临床资料。结果：10年内宫角妊娠占异位妊娠的比率由前5年的1.2%上升至后5年的2.2%；确诊率由60%上升至91.2%；宫、腹腔镜等微创手术率由33.3%上升至85.3%，以上各项指标前后5年相比差异有统计学意义（P＜0.05）。确诊前盲目人流或药流率由20.0%下降至5.9%，确诊前发生破裂致失血性休克的比率由13.5%下降至5.9%，以上两项比较差异虽无统计学意义（P＞0.05），但近5年来仍较前有所下降。结论：宫角妊娠占异位妊娠的比率逐渐提高，其诊断仍以B超为主，治疗方法多样化，但具体应根据患者及医院条件具体选择。
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　　【关键词】子宫角妊娠；超声；宫腔镜；腹腔镜
　　【中图分类号】R714.224【文献标识码】A【文章编号】1008-6455（2011）10-0030-02Diagnose and treatment of 49 cases cornual pregnancy
　　Liang HaixiaChen Biliang1Zhang Kui2Li Tianxiu2,et al.
　　【Abstract】Objective:To analyze the variation on the diagnosis and treatment of cornual pregnancy during 10 years. Methods:The clinical date of 49 patients with cornual pregnancy during January 2001 and december 2010 were retrospectively reviewed. Results:The rate of cornual pregnancy in ectopic pregnancy was elevated from 1.2% during January 2001 and december 2005 to 2.2% during January 2006 and december 2010; the final diagnosis rate was elevated from 60% to 91.2%; hysteroscopes and laparoscopic operation rate was elevated from 33.3% to 85.3%, there was significant difference in these items(P＜0.05). The random artificial or drug abortion rate was descented from 20.0% to 5.9%; and the hemorrhagic shock rate was descented from 13.5% to 5.9%, there was no significant difference in these two items(P＞0.05), but the downtrend could be seen during this 5 years. Conlusion:The incidence of cornual pregnancy was gradually higher, B-ultrasound was the main method for it’s diagonsis, the treatment of cornual pregnancy was diverse and every patient should be treated with the patient’s and hospital’s condition.
　　【Key words】Cornual pregnancy; Ultrasound; Hysteroscopes; Laparoscopes