The diagnosis and treatment of cervical pregnancy

Abstract

Objective To investigate the diagnosis and treatment of cervical pregnancy.Methods 9 cases of cervical pregnancy treated in our hospital in recent 10 years were analysed retrospectively.Among the 9 cases,3 cases underwent hysterectomy because of uncontrollable profuse bleeding and shock;6 cases were treated conservatively,3 cases of which were given systemic chemotherapy with MTX,1 case of which was given mutiple injection in cervix localization with 5 Fu,2 cases of which were given superselective uterine artery embolization.The removal of gestional material was fulfilled successfully under the surveillance of B US one week after the conservative therapy.The reasons of misdiagnosis were also analysed.Results There was remarkable decrease of serum β HCG level after the conservative therapy,and a smooth removal of gestional material with less bleeding and satisfactory result.Conclusion For the routine examination of pregnant women,the possibility of cervical pregnancy should be consideredwhen enlarged cervix and normal uterus are found it should be checked by B US to assure early diagnosis and correct treatment.As for the conservative therapy of cervical pregnancy,systemic or local chemotherapy and uterine artery embolization are safe and effective.