摘要
目的探讨宫角妊娠误诊为绒毛膜癌的原因、鉴别要点和治疗方法。方法对2008年1月至2011年4月郑州大学第一附属医院妇产科收治的12例误诊为绒毛膜癌的宫角妊娠进行回顾性分析。结果在12例宫角妊娠中,临床表现为停经12例(100.0%)、不规则阴道出血10例(83.3%)、下腹痛8例(66.7%)。宫角妊娠因其临床表现的特殊性而易被误诊为输卵管间质部妊娠、胎盘粘连或植入、绒毛膜癌。结论宫角妊娠和绒毛膜癌的诊断均依据病史、彩色多普勒超声和血β-人绒毛膜促性腺激素(β-humanchorionic gonadotrophin,β-HCG),但宫角妊娠的病程相对较短,手术治疗效果好;绒毛膜癌以化疗治疗为主,需多个疗程。
Objective To discuss the reason, differential diagnosis and treatment of the cornual pregnancy misdiagnosed as choriocarcinoma. Methods The data of 12 patients with cornual pregnancy misdiagnosed as choriocarcinoma were analyzed retrospectively in the First Affiliated Hospital of Zhengzhou University from Jan. 2008 to Apr. 2011. Results Clinical characteristics were menolipsis with 12 cases（ 100.0% ）, vaginal bleeding with 10 cases （83.3%） and abdominal pain with 8 cases （66. 7% ）. Cornual pregnancy was misdiagnosed as interstitial tubal pregnancy, placenta adherence or implantation, choriocarcinoma. Conclusion The diagnosis of cornual pregnancy and choriocarcinoma is based on medical history, color Doppler - Ultrasound and β- human ehorionic gonadotrophin （HCG） in blood, the duration of cornual pregnancy is relatively short and surgical treatment is effective for cornual pregnancy. While Choriocarcinoma need the chemotherapy and multiple courses of treatment.
出处
《中国计划生育和妇产科》
2011年第5期58-61,共4页
Chinese Journal of Family Planning & Gynecotokology
关键词
宫角妊娠
绒毛膜癌
误诊
治疗
cornual pregnancy
choriocarcinoma
misdiagnosis
treatment
