宫角异位妊娠：经阴道胚胎减灭术的保守治疗
Cornual heterotopic pregnancy: conservative treatment with transvaginal embryo reduction.
作者信息
Ozgur Kemal, Isikoglu Mete
机构信息
Antalya IVF Center, Ozel Antalya Tup Bebek ve Kadin Sagligi Merkezi, Pil Fabrikasi Karsisi, Halide Edip Cad. No: 7, 07080 Antalya, Turkey.
出版信息
Arch Gynecol Obstet. 2005 Jan;271(1):73-5. doi: 10.1007/s00404-003-0587-5. Epub 2004 Jan 13.
OBJECTIVE
The objective was to discuss a case of heterotopic cornual pregnancy managed with transvaginal embryo reduction.
METHODS
A 22-year-old woman with heterotopic cornual pregnancy was treated with ultrasonographically guided transvaginal injection of potassium chloride into the thorax of ectopic fetus.
RESULTS
Sixteen days after the procedure, the patient presented with pelvic pain and miscarriage ensued. Control examination 1 month and 3 months later revealed normal uterine cavity and partially resorbed ectopic material.
CONCLUSION
This minimally invasive approach in a hemodynamically stable patient can be considered in the management of a first trimester heterotopic cornual pregnancy. However the patient must be informed for the risk of abortion related to the procedure. Nevertheless this approach can be a treatment option in cornual pregnancies without a simultaneous intrauterine gestation.
目的
探讨经阴道减胎术治疗子宫角部异位妊娠的病例。
方法
一名22岁子宫角部异位妊娠女性患者，在超声引导下经阴道向异位胎儿胸腔注射氯化钾进行治疗。
结果
术后16天，患者出现盆腔疼痛并随后流产。1个月和3个月后的复查显示子宫腔正常，异位妊娠物部分吸收。
结论
对于血流动力学稳定的患者，在孕早期子宫角部异位妊娠的管理中可考虑这种微创方法。然而，必须告知患者该手术存在与流产相关的风险。尽管如此，这种方法对于没有同时合并宫内妊娠的子宫角部妊娠可作为一种治疗选择。
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