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目的:探讨子宫角妊娠的诊断和治疗。方法:对1994~2013年收治的子宫角妊娠50例临床资料进行回顾性分析。结果:50例中,进行手术治疗35例,保守治疗15例都取得了较好的效果。其中12例确诊为宫角妊娠,18例误诊为异位妊娠,3例误诊为早孕人流术子宫穿孔,4 3例误诊为妊娠合并子宫畸形,3例误诊为不全流产,10例误诊为绒毛膜癌,1例误诊为宫内妊娠。结论:超声检查与妇科检查可以提高宫角妊娠诊断的准确性,有助于降低误诊为异位妊娠或其他与妊娠相关的疾病的概率。
Objective: To investigate the diagnosis and treatment of uterine horn pregnancy. Methods: The clinical data of 50 cases of uterine horn pregnancy admitted from 1994 to 2013 were analyzed retrospectively. Results: Among the 50 cases, 35 cases were treated surgically and 15 cases received conservative treatment. Among them, 12 cases were diagnosed as uterine horn pregnancy, 18 cases were misdiagnosed as ectopic pregnancy, 3 cases were misdiagnosed as uterine perforation of early pregnancy, 43 cases were misdiagnosed as pregnancy with uterine malformation, 3 cases were misdiagnosed as incomplete abortion and 10 cases were misdiagnosed as chorion One patient was misdiagnosed as intrauterine pregnancy. Conclusion: Ultrasonography and gynecological examinations can improve the accuracy of pregnancy diagnosis of uterine horns and help reduce the probability of misdiagnosis as ectopic pregnancy or other pregnancy-related diseases.