Plascencia Moncayo Norberto, Hernández María de la Paz, Guadarrama Sánchez Rafael, Guerra Becerra Leticia, Salmón Vélez J Fernando G, Galván Aguilera Alejandro
Hospital San José, Querétaro, Qro, México.
Ginecol Obstet Mex. 2008 Dec;76(12):744-8.
We describe cervical pregnancy concept and its rareness. Its frequency is one in 2,550 to 98,000 intrauterine pregnancies. Predisposing factors are related with endometrial damage due to uterine curettages and previous cesarian section. Clinical picture was nonspecific and diagnosis was based in endovaginal ultrasonography. It can cause massive bleeding and put life in risk. During 2007 we attend 829 intrauterine pregnancies at Hospital San José de Querétaro: 11 tubal, and 3 cervical, this represents an extraordinarily high frequency of cervical pregnancy. Here we report three cases of cervical pregnancies treated with total hysterectomy, two as urgency and one elective. We remark early diagnosis importance to perform conservative treatment and maintain reproductive function.
我们描述了宫颈妊娠的概念及其罕见性。其发生率为每2550至98000例宫内妊娠中有1例。诱发因素与刮宫及既往剖宫产导致的子宫内膜损伤有关。临床表现无特异性，诊断基于经阴道超声检查。它可导致大量出血并危及生命。2007年，我们在克雷塔罗州圣何塞医院诊治了829例宫内妊娠：11例输卵管妊娠，3例宫颈妊娠，这代表宫颈妊娠的发生率极高。在此，我们报告3例宫颈妊娠行全子宫切除术的病例，其中2例为急诊手术，1例为择期手术。我们强调早期诊断对于进行保守治疗和维持生殖功能的重要性。
