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12例子宫颈妊娠保守治疗的临床分析

The clinical analysis on the conservative treatment of 12 cases of Cervical pregnancy
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摘要 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 analysis the early diagnosis of cervical pregnancy and the clinical significance of the methotrexate(MTX) combined conservative surgical treatment of cervical scraping.【Methods】 Retrospective analysis of the clinical data of 12 cases of cerviacal pregnancy from January 1998 to June 2010 in our hospital.【Results】 9 patients have taken a proactive intervention on the diagnosis of cervical pregnancy in the early pregnancy checking;2 patients are diagnosised because of the bleeding in the dilatation and curettage in the other hospital;1 patient have irregular bleeding during the pregnancy,and take emergency treatment because of the servere bleeding when 11weeks pregnnant.【Conclusion】 Gynecological examination and B-mode ultrasound have an important value on the early diagnosis of cervical pregnancy;active intervention has better effect than passive;conservative treatment of drug combination is safe and reliable.
出处 《中国医学工程》 2011年第9期31-32,共2页 China Medical Engineering
关键词 宫颈妊娠 甲氨蝶呤 宫颈管搔刮 cervical pregnancy methotrexate(MTX) cervical scraping
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