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目的 了解宫颈妊娠的临床特点,提高对本病的诊治水平。方法 对我院10年间6例宫颈妊娠病例进行临床分析。结果 我院宫颈妊娠为分娩数的1∶7090,占同期异位妊娠0.572%。6例中有4例误诊,误诊率高;5例保守治疗,1例行全子宫切除术,均治愈。结论 本病是一种极罕见而危险的异位妊娠,与人流及刮宫术有关,主要症状为停经史及无痛性阴道出血,大量而难以控制的出血常发生在刮宫时。体征为宫颈软而粗大。超声检查有助于本病的早期诊断。对早期宫颈妊娠倾向于保守治疗,对保守治疗无效的病例应及时采取全子宫切除术。
Objective To understand the clinical features of cervical pregnancy and improve the diagnosis and treatment of this disease. Methods Six cases of cervical pregnancy in our hospital during 10 years clinical analysis. Results The number of cervical pregnancy in our hospital was 1:7090, accounting for 0.572% of the ectopic pregnancy in the same period. Among the 6 cases, 4 cases were misdiagnosed and the misdiagnosis rate was high. Five cases were treated conservatively and one case received hysterectomy. All cases were cured. Conclusion The disease is a rare and dangerous ectopic pregnancy, and flow and curettage related to the main symptoms of menopausal history and painless vaginal bleeding, a large number of difficult to control the bleeding often occurs in curettage. Signs of soft and thick cervix. Ultrasound helps to early diagnosis of the disease. Early cervical pregnancy tend to conservative treatment, conservative treatment ineffective cases should promptly take a hysterectomy.