Ramírez Arreola Leonardo, Nieto Galicia Leyza Angélica, Escobar Valencia Alfredo, Cerón Saldaña Miguel Angel
Hospital General de Matamoros, México.
Ginecol Obstet Mex. 2007 Apr;75(4):219-23.
This article presents a clinical report of a cornual ectopic pregnancy as well as a five-year restrospective review of ectopic gestations at Hospital General de Matamoros Dr. Alfredo Pumarejo L, Tamaulipas, Mexico. The list with histopatological reports was checked up from January 2001 to May 2006. There were 66 results, of which only 31 files were complete. The presentation ages in these patients were between 16 and 39 years old, with a media of 25.6 years old and a mode of 21 years. The circumstances why patients attended to the hospital were: transvaginal bleeding and abdominal pain in 14 cases (45.1%), abdominal pain only in 12 cases (38.7%), and transvaginal bleeding only in five cases (16.2%). The clinical presentation was acute in 19 patients (61.3%), and it was insidious in 12 (38.7%). All women presented menstrual delay. Diagnoses were done by clinical findings in 12 women (38.7%), by clinical findings and ultrasonography in 18 (58.1%), and due to clinical findings and culdocentesis in just one patient (3.2%). Ectopic pregnancy was located in different places on each patient, such as: ampula, 24 cases (77.5%); isthmus, four patients (12.8%); fimbria, one case (3.2%); ovary, one woman (3.2%), and cornual in one patient (3.2%). Twenty-seven cases of broken ectopic pregnancies (87%), were found as transoperative findings, and the other four (13%) were not broken ectopic. There were not demises. Cornual ectopic pregnancy represents 1.5% of the ectopic gestations, as it is reported in the literature.
本文介绍了一例宫角异位妊娠的临床报告，以及对墨西哥塔毛利帕斯州马塔莫罗斯市阿尔弗雷多·普马雷霍·L博士综合医院5年异位妊娠病例的回顾性研究。查阅了2001年1月至2006年5月的组织病理学报告清单。共有66份结果，其中只有31份档案完整。这些患者的就诊年龄在16至39岁之间，平均年龄为25.6岁，众数为21岁。患者就医的原因如下：14例（45.1%）出现阴道出血和腹痛，12例（38.7%）仅有腹痛，5例（16.2%）仅有阴道出血。19例患者（61.3%）临床表现为急性，12例（38.7%）为隐匿性。所有女性均有月经推迟。12名女性（38.7%）通过临床检查确诊，18名（58.1%）通过临床检查和超声确诊，仅1名患者（3.2%）通过临床检查和后穹窿穿刺确诊。异位妊娠在每位患者的不同部位，如：壶腹部，24例（77.5%）；峡部，4例（12.8%）；伞端，1例（3.2%）；卵巢，1名女性（3.2%），宫角1例（3.2%）。27例破裂异位妊娠（87%）为术中发现，另外4例（13%）为未破裂异位妊娠。无死亡病例。如文献报道，宫角异位妊娠占异位妊娠的1.5%。
