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目的探讨宫角妊娠的治疗方式。方法回顾分析洛阳市妇女儿童医疗保健中心近5年来收治的47例宫角妊娠病例。结果 30例用米非司酮配伍米索前列醇治疗,有效29例(完全排除24例,排除不全清宫5例),9例超声引导吸宫术治疗成功8例,腹腔镜引导下吸宫术治疗5例,开腹手术治疗5例。结论宫角妊娠的治疗应根据个体化原则选择手术或保守治疗,米非司酮配伍米索前列醇口服保守治疗是值得探究的治疗方法。
Objective To investigate the treatment of cornual pregnancy. Methods Retrospective analysis of Luoyang Women and Children Medical Center in the past 5 years 47 cases of cornual pregnancy cases. Results Thirty patients were treated with mifepristone and misoprostol, effective in 29 cases (24 cases were completely excluded and 5 cases were excluded), 8 cases were successfully treated by echocardiography, 8 cases were treated by laparoscopy, Treatment of 5 cases, laparotomy in 5 cases. Conclusion The treatment of uterine horn pregnancy should be based on the principle of individual selection or conservative treatment, oral administration of mifepristone combined with misoprostol is worth exploring the treatment.