Sánchez Contreras J, Hernández Vivar L E, Villalobos Cid M A, Risco Cortés R J
Servicio de Endoscopia Ginecológica, Hospital Juárez de México.
Ginecol Obstet Mex. 2000 Jan;68:35-8.
A case of a 30 year-old patient is presented with infertility, 56 days opsomenorrhea, cervical tenderness, left adnexial mass, beta subunit of Human Gonadotrophin Corionic (HGC) of 112 mUl/mL, endovaginal ultrasonogram showed trophoblastic vascular flow with cardiac output, suggestive of ectopic gestation. Laparoscopy confirmed the diagnostic of left ectopic interstitial pregnancy, salpingocentesis was done with Methotrexate and potassium chloride and severe endometriosis was found. The postoperative control with seric levels of beta subunit HGC were negativized at 28 days. The treatment lasted 4 months with Nafarelin. The second look Hysteroscopy-Laparoscopy showed complete resolution of ectopic gestation, endometriosis improvement and bilateral tubal permeability.
报告一例30岁患者，有不孕、56天经间痛、宫颈压痛、左侧附件肿块，人绒毛膜促性腺激素β亚基（HGC）为112 mUl/mL，经阴道超声检查显示滋养层血管血流及心输出量，提示异位妊娠。腹腔镜检查确诊为左侧输卵管间质部异位妊娠，行甲氨蝶呤和氯化钾输卵管穿刺术，并发现重度子宫内膜异位症。术后28天血清β亚基HGC水平转阴。用那法瑞林治疗持续4个月。二次宫腔镜-腹腔镜检查显示异位妊娠完全消退，子宫内膜异位症改善，双侧输卵管通畅。
