目的:分析宫颈妊娠的临床特征,探讨宫颈妊娠的诊断及治疗方法.方法:回顾性分析2004年1月至2011年3月期间我院收治的10例宫颈妊娠病例的临床表现、诊治方法及转归情况.结果:10例患者均因阴道反复流血就诊,9例有宫腔操作史,初次就诊时B超明确诊断9例,1例B超未见明显宫颈妊娠证据.单纯药物(甲氨蝶呤加米非司酮)保守治疗成功5例,联合药物加超声引导下清宫术保守治疗成功2例,双侧子宫动脉栓塞术联合药物加超声引导下清宫术保守治疗成功1例,2例行全子宫切除术.结论:充分认识宫颈妊娠的临床特征有利于早期诊治,宫颈妊娠治疗方案应个体化,单纯药物或联合保守性手术是治疗宫颈妊娠的切实可行且安全可靠的方法.%Objective: To analyse the clinical features and explore the diagnosis and treatment of cervical pregnancy (CP). Methods; The clinical data of 10 patients with CP that admitted in our hospital from January, 2004 to March,2011 were retrospectively analyzed. Results; All the ten patients were hospitalized for reduplicative colporrhagia. Nine of them had experienced operations of uterine cavity. We hadn't seen obvious ultrasound evidence for CP only in one case. Five cases were cured with methotrexate and mifepristone. Two cases were recovered through ultrasound- guided curettage after medicine care. One patient was done by ultrasound- guided curettage combining uterine artery chemoembolization. The left two cases had experienced panhysterectomy. Conclusion; Sufficient understanding of the clinical characteristics of CP is benefit for early diagnosis and therapy. Therapy for CP should be individual. Pharmacotherapy and conservative surgery are feasible, safe and reliable treatments for CP.
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