Suzumori Nobuhiro, Katano Kinue, Sato Takeshi, Okada Junko, Nakanishi Tamao, Muto Daisuke, Suzuki Yoshikatsu, Ikuta Katsuo, Suzumori Kaoru
Department of Obstetrics and Gynecology, Nagoya City University Medical School, Nagoya, Japan.
Fertil Steril. 2003 Sep;80(3):617-9. doi: 10.1016/s0015-0282(03)00740-4.
To describe a rare case of conservative treatment of an 11-week cervical pregnancy after a period of heavy bleeding.
Case report.
A university hospital.
PATIENT(S): A 33-year-old woman was admitted to our hospital for treatment of a cervical pregnancy. Two-and-a-half years thereafter, she gave birth to a healthy baby by vaginal delivery at 38 weeks of gestation.
INTERVENTION(S): Systemic methotrexate treatment, ligation of descending branches of uterine arteries, cervical cerclage, and unilateral internal iliac artery embolization.
MAIN OUTCOME MEASURE(S): Transvaginal ultrasound, magnetic resonance imaging, and arteriography findings.
RESULT(S): The patient was successfully treated with unilateral internal iliac artery embolization on the same side as the pregnancy in the 11th gestational week.
CONCLUSION(S): After failed methotrexate and vessel ligation in cervical pregnancy, unilateral internal iliac artery embolization is an effective and conservative treatment that allows preservation of reproduction potential.
描述1例孕11周宫颈妊娠在大量出血一段时间后保守治疗的罕见病例。
病例报告。
一家大学医院。
一名33岁女性因宫颈妊娠入院治疗。两年半后，她在妊娠38周时经阴道分娩出一名健康婴儿。
全身甲氨蝶呤治疗、子宫动脉下行支结扎、宫颈环扎术和单侧髂内动脉栓塞术。
经阴道超声、磁共振成像和动脉造影结果。
患者在孕11周时接受了与妊娠同侧的单侧髂内动脉栓塞术，治疗成功。
宫颈妊娠甲氨蝶呤治疗和血管结扎失败后，单侧髂内动脉栓塞术是一种有效的保守治疗方法，可保留生育潜能。
