论文部分内容阅读
目的探讨宫颈妊娠早期诊断、甲氨蝶呤(MTX)联合宫颈搔刮术保守治疗的临床意义。方法回顾性分析我院1998年1月至2010年6月间收治的12例宫颈妊娠的临床资料。结果 12例患者有9例是在早孕检查时诊断宫颈妊娠而采取了主动干预措施,2例患者是在外行刮宫术中大出血而诊断宫颈妊娠,1例患者孕期不规则少量出血、孕11周时突发大出血而到医院抢救治疗。结论妇科检查及B超检查对宫颈妊娠的早期诊断有重要价值,主动干预治疗比被动抢救治疗效果好,药物联合保守治疗是安全可靠的方法。
Objective To investigate the clinical significance of early diagnosis of cervical pregnancy and conservative treatment of methotrexate (MTX) and cervical scraping curettage. Methods The clinical data of 12 cases of cervical pregnancy treated in our hospital from January 1998 to June 2010 were retrospectively analyzed. Results Nine of 12 patients were diagnosed with cervical pregnancy during the first trimester by taking the initiative intervention measures. Two patients were diagnosed with cervical pregnancy by massive hemorrhage during the curettage surgery, one patient had irregular small amount of bleeding during pregnancy and 11 weeks’ gestation Sudden bleeding and to the hospital for rescue treatment. Conclusion Gynecological examination and B-ultrasound have important value in the early diagnosis of cervical pregnancy. Active intervention is more effective than passive salvage therapy and combined with conservative treatment is a safe and reliable method.