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红旗医院妇科自1997年8月至1998年9月共收治2例残角子宫妊娠,现报告分析如下.1临床资料病例1,患者25岁,因药物流产后半月余仍有早孕反应及阴道流血而于1997年8月14日入院.既往健康,有痛经史,患者因停经46d在当地医院检查尿液人绒毛膜促性腺激素(HCG)(+).诊为早孕,而行药物流产,流产后半月仍有早孕反应及阴道流血,未见胎囊排出,再次就诊,按“不全流产”行人工流产术,未见绒毛,为明确诊治而转入我院.妇科检查,外阴阴道正常,宫颈有紫兰着色,宫体略大于正常,右侧附件区可触及7×6×6cm大小包块,与子宫间有一定距离及活动度.辅助检测:尿HCG(+)B超提示“宫外孕”.临床确诊;异位妊娠(未破型).当日即行手术治疗,术中见子宫右侧有一残角子宫约7×6×6Cm大小,与子宫间由肌纤维相连约2cm,另一侧连接正常的输卵管及卵巢,子宫及左侧附件正常.手术切除残角子宫,查残角子宫与正常子宫无腔隙.术后病理报告:残角子宫妊娠.
Hongqi Hospital gynecology since August 1997 to September 1998 were treated 2 cases of residual horn uterine pregnancy, the report is analyzed as follows.1 Clinical data Case 1, patients 25 years old, more than half a month after the abortion still have early pregnancy reaction and vaginal bleeding And was admitted to hospital on August 14, 1997. Formerly healthy, history of dysmenorrhea, patients with urinary humane human chorionic gonadotropin (HCG) (+) were examined at a local hospital for 46 days after menopause, diagnosed as early pregnancy, and medical abortion, miscarriage The second half of the month there are still early pregnancy reactions and vaginal bleeding, no fetal sac discharge, re-treatment, according to “incomplete abortion” artificial abortion, no villi, for a clear diagnosis and transferred to our hospital.Gycope examination, vulva and vagina, cervix There are purple orchid coloring, the palace slightly larger than normal, the right attachment area can reach 7 × 6 × 6cm size of the mass, and the uterus between a certain distance and activity. Auxiliary testing: urine HCG (+) B-ultrasound that “ectopic pregnancy” Clinically confirmed; ectopic pregnancy (not broken type.) The same day the line of surgery, see the right side of the uterus, a residual angle of the uterus about 7 × 6 × 6Cm size, connected with the uterine muscle fiber about 2cm, the other side of the normal connection Of the fallopian tubes and ovaries, uterus and left attachment is normal. Surgical removal of residual angle uterus, check the residual angle Palace and normal uterine cavities without postoperative pathology report: rudimentary horn pregnancy.