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宫颈妊娠误诊一例并文献复习

Misdiagnosis of Cervical Pregnancy:A Case Report and Literature Review
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摘要 目的了解宫颈妊娠的相关临床诊治经过以减少宫颈妊娠的误诊。方法报道一例宫颈妊娠患者的诊治情况并进行分析,反思诊治经过,总结经验,以提高临床医生对血HCG极高的宫颈妊娠的防范意识。结果本例患者行经腹腔镜全子宫及双附件切除术,术后病理确诊宫颈妊娠,预后良好,未见严重并发症的发生。结论宫颈妊娠临床少见且症状不典型,与难免流产、不全流产、先兆流产、滋养细胞肿瘤等鉴别困难,加强认识、提高诊治水平,做到早发现、早诊断、早治疗,改善患者的预后。 Objective To understand the clinical diagnosis and treatment process of cervical pregnancy in order to reduce misdiagnosis of cervical pregnancy.Methods Report the diagnosis and treatment of a patient with cervical pregnancy and analyze the process,reflect on the diagnosis and treatment,and summarize the experience to improve clinicians'awareness of preventing cervical pregnancy with extremely high blood HCG levels.Results This patient underwent laparoscopic total hysterectomy and bilateral adnexectomy,and was diagnosed with cervical pregnancy by pathological examination after surgery.The prognosis was good,and no serious complications occurred.Conclusion Cervical pregnancy is rare in clinical practice and has atypical symptoms,which are difficult to differentiate from inevitable abortion,incomplete abortion,threatened abortion,trophoblastic tumor,etc.Strengthening awareness and improving the level of diagnosis and treatment can achieve early detection,early diagnosis,and early treatment,and improve the prognosis of patients.
作者 杨秉才 邓玉清 YANG Bing-cai;DENG Yu-qing(The Fifth Clinical Medical College of Anhui Medical University,Shenzhen 518000,Guangdong Province,China;Clinical Medical College of Anhui Medical University,Peking University Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China)
出处 《罕少疾病杂志》 2024年第7期1-2,共2页 Journal of Rare and Uncommon Diseases
关键词 宫颈妊娠 误诊 滋养细胞肿瘤 Cervical Pregnancy Misdiagnose Gestational Trophoblastic Disease
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