(精编)【医学教学课件】宫颈妊娠的诊断与治疗教学课件.pptVIP

宫颈妊娠的诊断与治疗;定义及发病率;病 因;诊 断(一)临床表现;治疗—保守治疗;治疗—保守治疗;影响药物成功治疗的因素;影响药物成功治疗的因素;治疗—手术治疗;;;;;全子宫切除;治疗后再妊娠的结局;;? 31 year old, gravida 2, para 1, 5 weeks gestation with painless vaginal bleeding of 2 days duration. ? Medical history:with no previous intrauterine procedures, pelvic inflammatory disease, or intrauterine devices. ? Pelvic examination revealed a barrel-shape uterine cervix with minimal bright bleeding protruding through a closed external os. The uterus was slightly enlarged and had no adnexal masses. ? ultrasound examinations：confirmed the presence of a cervical pregnancy with fet