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目的:探讨宫角妊娠的早期诊断及早期治疗。方法:收集我院42例宫角妊娠的诊断及治疗。结果:42例中首诊我院37例,32例确诊,4例疑输卵管妊娠,1例误诊为宫内孕,5例转入我院后均确诊。治疗确诊32例中30例吸宫干净,2例子宫角穿孔开腹手术,4例误诊为输卵管妊娠均腹腔镜下证实并治愈。1例误诊为宫内孕药流时子宫破裂,在输血,抢救休克同时开腹手术治愈;5例转入病人中均开腹积极治疗,其中4例保留子宫,1例行子宫次全切除术。结论:宫角妊娠的早期诊断及早期治疗非常重要。
Objective: To investigate the early diagnosis and early treatment of uterine horn pregnancy. Methods: The diagnosis and treatment of 42 cases of cornual pregnancy in our hospital were collected. Results: Of the 42 cases, 37 cases were diagnosed in our hospital, 32 cases were diagnosed, 4 cases were suspected of tubal pregnancy, 1 case was misdiagnosed as intrauterine pregnancy, and 5 cases were diagnosed in our hospital. Of the 32 cases diagnosed, 30 cases were cleaned by suction, 2 cases were perforation opened by uterus, and 4 cases were misdiagnosed as tubal pregnancy by laparoscopy. One case was misdiagnosed as uterine rupture during intrauterine pregnancy, and was cured by laparotomy while transfusion and rescuing shock. All the patients were active in open surgery in 5 cases. Among them, 4 cases retained uterus and 1 case received subtotal hysterectomy. Conclusion: Early diagnosis and early treatment of uterine horn pregnancy is very important.