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目的探讨宫颈妊娠的早期诊断及保守性治疗方法。方法对收治的28例宫颈妊娠进行回顾性分析。结果18例经阴道B超早期诊断,10例为阴道大量流血或人工流产出血不止后经阴道B超确诊。28例经MTX加米非司酮联合化疗或用子宫动脉栓塞并局部加MTX化疗,均经保守治疗治愈,子宫得到保留。结论阴道B超是诊断宫颈妊娠的首选方法,联合化疗及子宫动脉栓塞加局部化疗使保守治疗成为可能。
Objective To investigate the early diagnosis of cervical pregnancy and conservative treatment. Methods 28 cases of cervical pregnancy admitted to a retrospective analysis. Results 18 cases of early diagnosis of transvaginal B-ultrasound, 10 cases of massive vaginal bleeding or abortion bleeding more than confirmed by the vaginal ultrasound. 28 cases of MTX combined with mifepristone or chemotherapy with uterine artery embolization and local chemotherapy plus MTX were cured by conservative treatment, the uterus was retained. Conclusions Vaginal ultrasound B is the first choice for the diagnosis of cervical pregnancy. Combined chemotherapy and uterine artery embolization plus local chemotherapy make conservative treatment possible.