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目的探讨10年来本院宫角妊娠的临床诊治变化特点。方法回顾性分析本院1999年1月至2008年12月收治的42例宫角妊娠的临床资料。结果10年间宫角妊娠发生占异位妊娠的比率由1999～2003年的1.8%上升到2004～2008年的3.4%;宫角妊娠的确诊率由12.5%上升至75.0%;经腹腔手术(剖腹探查和腹腔镜手术)由90.0%下降至62.5%;经宫腔手术(超声引导下吸宫)由0上升至28.1%。结论宫角妊娠发生率升高,经宫腔手术治疗比例增多,超声和宫腔镜是早期诊断和治疗宫角妊娠的主要方法。
Objective To investigate the clinical diagnosis and treatment of cornual uterine horn in our hospital over the past 10 years. Methods The clinical data of 42 cases of cornual pregnancy admitted to our hospital from January 1999 to December 2008 were retrospectively analyzed. Results The incidence of uterine horn pregnancy accounted for ectopic pregnancy in 10 years from 1.8% in 1999 ~ 2003 to 3.4% in 2004 ~ 2008. The diagnosis rate of uterine horn pregnancy increased from 12.5% to 75%. The transabdominal operation Exploration and laparoscopic surgery) decreased from 90.0% to 62.5%, and from 0 to 28.1% via uterine surgery (ultrasound-guided suctioning). Conclusion The incidence of uterine horn pregnancy increased, the proportion of uterine cavity surgery increased, ultrasound and hysteroscopy is the main method of early diagnosis and treatment of uterine horn pregnancy.