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Open Access Article

International Medical Research Frontier. 2022; 6: (3) ; 4-7 ; DOI: 10.12208/j.imrf.20220092.

Analysis of misdiagnosis of cervical pregnancy in 1 case
宫颈妊娠1例误诊分析

作者: 杨小艳 *

延安大学附属医院妇科 陕西延安

*通讯作者: 杨小艳,单位:延安大学附属医院妇科 陕西延安;

发布时间: 2022-08-22 总浏览量: 395

摘要

妊娠指胚胎以及胎儿在母体内生长发育的过程,成熟卵子受精为妊娠开始,当胎儿及其附属物从母体排出为妊娠终止,是大多数女性必须经历的生理过程。但受体质等多种因素影响,不是所有妊娠过程都一帆风顺,部分女性可能由于出现宫外孕而导致妊娠失败。宫外孕在临床上称为异位妊娠,即子宫外的妊娠,包含卵巢、输卵管、腹腔等部位妊娠,同时包括子宫角妊娠、子宫颈妊娠与剖宫产瘢痕妊娠等,是造成孕妇早期死亡的主要原因,需要引起重视。其中宫颈妊娠指受精卵着床、发育在宫颈管内,十分罕见,近几年,随着各种辅助生殖技术的大量使用,宫颈妊娠发病率明显提高,且多发生在经产妇中[1]。因为临床宫颈妊娠病例较少,加上病因尚未明确,因此诊断时极易发生误诊,导致采取错误的治疗方式,对患者造成严重的负面影响。基于此,本文分析1例宫颈妊娠患者的诊治过程,旨在为临床诊断该疾病提供参考,从而提高诊断准确率,具体报道如下。

关键词: 宫颈妊娠误诊分析;孕妇早期死亡

Abstract

Pregnancy refers to the process of growth and development of the embryo and fetus in the mother. Pregnancy begins when the mature egg is fertilized and ends when the fetus and its appendages are discharged from the mother. It is a physiological process that most women must go through. But affected by a variety of factors such as physical fitness, not all pregnancy process is smooth, some women may lead to pregnancy failure due to ectopic pregnancy. Ectopic pregnancy is clinically known as ectopic pregnancy, that is, pregnancy outside the uterus, including ovary, fallopian tube, abdominal cavity and other parts of pregnancy, including uterine horn pregnancy, cervical pregnancy and cesarean section scar pregnancy, is the main cause of early death of pregnant women, need to pay attention to. Among them, cervical pregnancy refers to the implantation and development of the fertilized egg in the cervical canal, which is very rare. In recent years, with the extensive use of various assisted reproductive technologies, the incidence of cervical pregnancy has increased significantly, and it mostly occurs in the parturient women[1]. Due to the small number of clinical cervical pregnancy cases and the unknown etiology, misdiagnosis is easy to occur, leading to the adoption of wrong treatment, causing serious negative impact on patients. Based on this, this paper analyzed the diagnosis and treatment process of 1 patient with cervical pregnancy, aiming to provide reference for clinical diagnosis of the disease and thus improve the diagnostic accuracy. Specific reports are as follows.

Key words: Cervical pregnancy misdiagnosis analysis; Early maternal death

参考文献 References

[1]曾敏慧,冯淑英,杨冬梓.辅助生殖后宫内合并宫颈妊娠出血患者1例病例报告及讨论[J].中国计划生育和妇产科,2022,14(05):14-15,19.

[2]罗江平,孔俊沣,曾文兵,等.宫颈妊娠的MRI表现[J].临床放射学杂志,2019,38(08):1467-1471.

[3]慕庆玲,刘莹,王淑萍,等.宫内宫颈复合妊娠1例[J].中南大学学报(医学版),2021,46(02):212-216.

[4]陈雨骤,周俊宇.腹部超声和阴道超声诊断宫颈异位妊娠效果[J].中国计划生育学杂志,2020,28(10):1621-1623,1724.

[5]宋清芸,杨帆.经静脉超声造影诊断不典型宫颈妊娠1例[J].临床超声医学杂志,2019,21(11):824.

[6]张媛媛,陈雁鸣.误诊为宫内孕的宫颈妊娠11例临床分析[J].中华生殖与避孕杂志,2021,41(07):638-643.

[7]文玉玲.宫颈妊娠误诊一例报告[J].青海医药杂志,2021,51(12):63-64.

[8]连成瑛,陈秀娟,黄小琛,等.宫颈妊娠的诊断与治疗[J].中国妇幼保健,2018,33(22):5070-5073.


引用本文

杨小艳, 宫颈妊娠1例误诊分析[J]. 国际医药研究前沿, 2022; 6: (3) : 4-7.