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目的探讨子宫角部妊娠的诊疗经验。方法对我院近10年收治的45例宫角妊娠病人进行回顾性研究。结果合并有危险因素者38例,占84%。首次诊断即有“异位妊娠”或“宫角妊娠”证据者21例,占47%;首次误诊之后得以修正或意外发现者24例,占53%。33例行宫角部切开取胚术,占73%;12例保守治疗,占27%。结论宫角妊娠的早期诊断率尚待提高,对部分病例可保守治疗。
Objective To investigate the diagnosis and treatment of uterine horn pregnancy experience. Methods A retrospective study was performed on 45 cases of cornual pregnancy contracted in our hospital in recent 10 years. Results 38 cases were combined with risk factors, accounting for 84%. The first diagnosis of “ectopic pregnancy” or “Palace pregnancy” evidence in 21 cases, accounting for 47%; after the first misdiagnosis or accidental findings in 24 cases, accounting for 53%. Thirty-three cases underwent hysterectomy, accounting for 73%; 12 cases were conservative treatment, accounting for 27%. Conclusions The early diagnosis of uterine horn pregnancy needs to be improved, and some cases can be treated conservatively.