PDF(Pubmed)
Abstract：
Cornual pregnancy (CP) is a subtype of ectopic pregnancy that is implanted in the interstitial segment of the fallopian tube which is defined as the tubal section crossing uterine muscular tissue. Widely recognized risk factors for CP are endometriosis, uterine leiomyomata, or pelvic inflammatory disease; all these diseases can cause tubal anatomic changes and consequently alter embryo physiological implant process. Many treatment options are available for this condition each one must be tailored according to patient and operating scenario. The incidence of uterine ruptures in the scarred uterus appears to be low, but the fear of it remains and therefore medical treatment might be favored over cornual wedge resection. The actual risk of uterine rupture after medical treatment is unknown. Multiple testing strategies exist to diagnose CP, but caution needs to be used to avoid a false diagnosis.
摘要：
宫角妊娠（CP）是异位妊娠的一种亚型，植入输卵管间质段，定义为穿过子宫肌肉组织的输卵管部分。广泛公认的CP的危险因素是子宫内膜异位症，子宫平滑肌瘤，或盆腔炎;所有这些疾病都会引起输卵管解剖变化，从而改变胚胎生理植入过程。许多治疗选项可用于这种情况，每个都必须根据患者和手术情况进行调整。瘢痕子宫中子宫破裂的发生率似乎很低，但是对它的恐惧仍然存在，因此药物治疗可能比角膜楔形切除术更受欢迎。药物治疗后子宫破裂的实际风险未知。存在多种测试策略来诊断CP，但要谨慎避免错误的诊断.
