高强度聚焦超声联合清宫术治疗宫颈妊娠一例

宫颈妊娠是临床罕见的一种异位妊娠,由于胚胎种植于宫颈管黏膜内,可能造成大出血等不良结局,严重时需切除子宫,甚至危及患者生命。该疾病尚无特定治疗方法,需行个体化治疗。目前采用高强度聚焦超声治疗宫颈妊娠的报道极少,现回顾中国人民武装警察部队特色医学中心妇产科2020年收治的1例高强度聚焦超声联合清宫术成功治疗宫颈妊娠的病例,希望通过分享治疗经验引起妇产科医师的注意,为宫颈妊娠患者谋求更安全、有效、经济的治疗方案。

A Case Report on Treatment of Cervical Ectopic Pregnancy Using High Intensity Focused Ultrasound Combined with Curettage

As one of ectopic pregnancies, cervical ectopic pregnancy, which is rare in clinic, may cause severe bleeding and other adverse outcomes because the embryo is implanted in the cervical mucosa. In some severe cases, hysterectomy is necessary and it would be even life-threatening while there is no specific method to treat the disease and individualized treatment is needed. At present, there are few reports on the treatment of cervical ectopic pregnancy by high intensity focused ultrasound. Now, a female diagnosed with cervical ectopic pregnancy who was hospitalized in the Department of Obstetrics and Gynecology, The Characteristic Medicine Center of The Chinese People′s Armed Police Forces in 2020 cured by high intensity focused ultrasound combined with curettage is reviewed. We hope to share the treatment experience in order to attract the attention of obstetricians and gynecologists, and strive for more effective, safer and more economic treatment for cervical ectopic pregnancy patients.