宫颈妊娠1例误诊分析

Analysis of misdiagnosis of cervical pregnancy in 1 case

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DOI 10.12208/j.imrf.20220092
刊名
International Medical Research Frontier
年,卷(期) 2022, 6(3)
作者
作者单位

延安大学附属医院妇科 陕西延安 ;

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。
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.
关键词
宫颈妊娠误诊分析;孕妇早期死亡
KeyWord
Cervical pregnancy misdiagnosis analysis; Early maternal death
基金项目
页码 4-7
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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.

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