%0 Journal Article
%T 子宫部位异位妊娠临床分析
%A 万虹
%A 熊薇
%J 华西医学
%P 1462-1464
%D 2010
%X 【】目的探讨子宫部位异位妊娠的临床特征和处理对策。方法回顾分析2002年9月-2009年9月间收治的31例子宫部位异位妊娠患者的临床资料。结果31例患者中，初诊确诊仅8例，误诊率74.2%。除5例因难以控制的大出血行经腹病灶清除术加子宫修补术或全子宫切除术外，其余26例患者均经氨甲喋呤（MTX）治疗加清宫术或宫腔镜下病灶清除术保守治疗成功。结论子宫部位异位妊娠容易误诊，超声检查是诊断的主要方法。保守治疗安全、有效，可保留生育能力。氨甲喋呤治疗加清宫术可作为治疗子宫部位异位妊娠的主要方法。？【Abstract】ObjectiveToinvestigatetheclinicalcharacteristicsandtreatmentofectopicpregnancyintheuterus.MethodsTheclinicaldataof31patientsdiagnosedasectopicpregnancyfromSeptember2002toSeptember2009wereanalyzedretrospectively.ResultsDuringpreliminarydiagnosis,onlyeightpatientswereaccuratelydiagnosed.Theerrorrateoffirstdiagnosiswas74.2%.Fivepatientssufferedfocalcleaninganduterusneoplastyortotalhysterectomyduetouncontrollablebleeding.Theother26patientsweresuccessfullycuredbyconservationtreatmentofmethotrexate(MTX)combinedwithdilatationandcurettageorclearanceoffocallesionunderhysteroscopy.ConclusionMisdiagnosisofectopicpregnancyintheuterusiseasytomake.Theultrasonographyisthemainmethodforthediagnosisofectopicpregnancyintheuterus.Conservativetreatmentisprovedtobesafeandeffectiveandcanpreservethepatients’fertility.AdministrationofMTXcombinedwithdilatationandcurettageisanmaintherapeuticmethodinhandlingectopicpregnancyintheuterus.
%K 子宫部位异位妊娠
%K 子宫切口妊娠
%K 子宫峡部妊娠
%K 宫颈妊娠
%K 氨甲喋呤
%U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201008026