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患者,女,26岁,因停经2月,阴道流血10天入院。B 超检查:子宫7.4×3.6×4.5cm,轮廊规整,宫壁回声尚均匀,宫腔内未见光团及液性暗区。宫颈前后径3cm,靠宫颈前壁探及一大小为1.7×1.6cm 之囊性液性暗区,边界清楚,其内可见闪烁样跳动光点。后方回声稍增强。B 超诊断为宫颈妊娠。经人流术及病理检查确定为宫颈妊娠。讨论:作为异位妊娠之一的宫颈妊娠临床比较少见,故在妊娠初期不易发现,一般需作 B 超检查才能确定。宫颈妊娠可以发生严重的失血,首先是由于胎盘植入较深,不能剥离,勉强剥离常引起宫颈撕裂,在分娩后子宫颈不能收缩也常引起产后出
Patient, female, 26 years old, due to menopause in February, vaginal bleeding 10 days admitted. B-ultrasound: uterus 7.4 × 3.6 × 4.5cm, round the corridor etiology, uterine wall echo is still uniform, intrauterine no light group and liquid dark area. Cervical anteroposterior diameter 3cm, by the anterior cervical exploration and a size of 1.7 × 1.6cm cystic liquid dark, clear boundary, which can be seen flashing beating like light spots. The back echo slightly enhanced. B-ultrasound diagnosis of cervical pregnancy. Cervical pregnancy was confirmed by abortion and pathological examination. Discussion: As one of ectopic pregnancy cervical pregnancy is relatively rare, it is not easy to find early pregnancy, the general need to be confirmed by B-ultrasound. Cervical pregnancy can occur severe blood loss, first of all, due to the deep placenta accreta, can not be stripped, barely often lead to cervical dissection tear, cervix can not be contracted after delivery is often caused by postpartum