子宫部位异位妊娠的处理对策..docVIP

子宫部位异位妊娠的处理对策 】目的探讨子宫部位异位妊娠的临床特点和处 理对策。方法回顾性分析了 20 00年1月至n年12月本院 收治的子宫部位异位妊娠35例的临床资料，包括一般情况、 临床表现、治疗方法等。结果子宫部位异位妊娠的发病率为％， 其中剖宫产切口妊娠发病率为％，宫颈妊娠发病率为％，子宫 壁妊娠％，残角子宫妊娠％; 35例子宫部位异位妊娠术前仅确 诊18例（占），误诊％，其中阴道大量出血5例，腹腔内严重 出血5例，2例出血＞2⑻0ml;剖宫产切口妊娠采用药物加切 口妊娠病灶清除术及子宫修补术3例，子宫切除2例；宫颈 妊娠药物治疗3例，自然排胎1例、宫颈管搔刮1例、失败 1例，后行双侧子宫动脉栓塞治疗成功；子宫峡部妊娠药物 治疗2例，均行切口妊娠病灶清除术及子宫修补术；残角妊 娠开腹行残角子宫切除术13例，腹腔镜残角子宫切除术10 例。结论子宫部位异位妊娠发病率近年有增加趋势，术前容 易误诊，可能发生严重的出血，甚至丧失生育能力。应引起 广大医务人员的重视。有剖宫产史的病人一旦妊娠应排除剖 宫产切口妊娠。 关键词】子宫部位异位妊娠处理 [Abstract ] Objec tive Toinvestigate theearlydiagnosisaicpregnancyintheut theearlydiagnosisa icpregnancyintheut ndtreatmentofectop erine.Methods 35pa tientswhoweretreatedinourhospitalwit hectopicpregnancyi ntheuterinewereana tientswhoweretreat lyzedretrospective ly,includingmedica lhistory 、 clinicalm anifestation,auxil iaryexamination,et al. Results Therate ofectopicpregnancy intheuterinewas% ， r ateofectopicpregna ncyincaesareanscar is% ， soasincervical . Itwaseasytomisdia gnose, therateis%. E ctopicpregnancyint heuterinecausedser iousbleeding, inclu dingheavycolporrha giain5cases,intrap eritoniumbleedingi eedingmorethan2000 ncyincaesareanscar sfocalcleaningandu duterusremovel；3ca ancyweretreatedwit ontaneousabortion, cervicalcanals,lfarinearterialembolissuccessful；2cases eritoniumbleedingi eedingmorethan2000 ncyincaesareanscar sfocalcleaningandu duterusremovel；3ca ancyweretreatedwit ontaneousabortion, cervicalcanals,lfa rinearterialemboli ssuccessful；2cases inisthmusuterihadm leaninganduterusne n5cases,2casesofbl ml；ofectopicpregna ,3hadmedicationplu terusneoplasty,2ha sesofcervicalpregn hmedication,lhadsp lhadscorapingatthe iledandturnedtoute smonbothsidesandwa ofectopicpregnancy edicationandfocalc oplasty；incasesofp regnancyinrudiment aryborn,13hadlapar otomy andremovalof rudimentaryborn,10 hadlaparoscopicrem ovalofrudimentary Theincidencerateof ectopicpregnancyis increasinginrecent yearsandthethemisd iagnosisiseasytoma ke,whichmaycausese riousbleedingoreve nfertilityloss. Mor eattentions