Kohl H, Schade R
Frauenklinik, Bergarbeiterkrankenhauses Gera.
Zentralbl Gynakol. 1990;112(16):1017-22.
It is reported on a rare case of cervical pregnancy as a dangerous form of ectopic pregnancy. Etiology of this case is described only hypothetically like in literature. Clinical diagnosis always is difficult and was made seldom prior to operation. By ultrasonics cervical pregnancy diagnosis is possible if it is considered. On the other hand even that can mislead as cases from literature and our case show. For prognosis the same principles are applicable as with any other ectopic pregnancy--it must be finished definitely a certain number of pregnancies carried to term can be found in literature. Mortality has been reduced by the generally improved operation conditions. Primary hysterectomy has proven therapy of choice. Conserving uterus after ligature or embolisation of the internal iliac artery seems to be justified only in exceptional cases. In early pregnancy up to the 8th gestational week vacuum extraction or curettage can be tried.
据报道,宫颈妊娠作为一种危险的异位妊娠形式,实属罕见。与文献中一样,该病例的病因仅为假设性描述。临床诊断始终困难,术前很少做出诊断。若考虑到超声检查,宫颈妊娠是有可能诊断出来的。另一方面,正如文献中的病例和我们的病例所示,即便如此也可能会产生误导。对于预后,与任何其他异位妊娠适用相同的原则——必须彻底结束妊娠,文献中可以找到一定数量足月妊娠的案例。由于手术条件普遍改善,死亡率已有所降低。原发性子宫切除术已被证明是首选治疗方法。仅在特殊情况下,在结扎或栓塞髂内动脉后保留子宫似乎才是合理的。在妊娠早期至第8孕周,可以尝试真空吸引术或刮宫术。