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宫颈妊娠是一种少见的异位妊娠,过去常在拟诊不全流产或难免流产行清官术时才作出诊断,术中常引起大出血而行子宫切除术。如对宫颈妊娠能作出早期诊断,则可为施行保守性治疗(保留生育功能的治疗)提供成功的机会。本文对14例宫颈妊娠的诊断及治疗进行分析,以寻求其早期诊断和保守性疗法。 临床资料 本院自1989年6月至1995年11月收治宫颈妊娠14例,年龄24～37岁,平均30±4岁。初孕妇4例,经孕妇10例。同期本院收住入院确诊为异位妊娠1865例,分娩总数30631例,宫颈妊娠的发病率占异位妊娠的0.75％,占分娩总数的0.5‰。 症状和体征:停经时间36～90天,均有阴道出血,其中少量阴道出血12例,大出血致休克2例。求诊前
Cervical pregnancy is a rare ectopic pregnancy, the past often in the diagnosis of incomplete abortion or inevitable abortion to clean up before surgery to make a diagnosis, surgery often caused by bleeding and hysterectomy. Early diagnosis of cervical pregnancy provides a chance of success for conservative treatment (treatment that retains fertility). This article analyzes the diagnosis and treatment of 14 cases of cervical pregnancy in order to seek its early diagnosis and conservative treatment. Clinical data Hospital from June 1989 to November 1995 cervical pregnancy in 14 cases, aged 24 to 37 years, mean 30 ± 4 years. The first 4 pregnant women, 10 pregnant women. In the same period, 1865 cases of ectopic pregnancy and 30631 cases of childbirth were admitted to our hospital. The incidence of cervical pregnancy accounted for 0.75% of ectopic pregnancy, accounting for 0.5 ‰ of the total number of deliveries. Symptoms and signs: menopause 36 to 90 days, have vaginal bleeding, including 12 cases of a small amount of vaginal bleeding, bleeding caused by shock in 2 cases. Before consultation