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[12周宫颈妊娠的保守治疗]

[Conservative treatment of 12-week cervical pregnancy].

作者信息

Malinowski Andrzej, Maciołek-Blewniewska Grazyna, Szaflik Krzysztof, Cieślak Jarosław, Pawłowski Tadeusz

机构信息

Klinika Ginekologii Operacyjnej i Endoskopowej Instytutu Centrum Zdrowia Matki Polki w Łodzi.

出版信息

Ginekol Pol. 2004 Apr;75(4):295-300.

Abstract

A cervical pregnancy is very rare form of ectopic pregnancy. Usually it is associated with unexpected occurrence hemorrhage from the cervix. For this reason the treatment for a cervical pregnancy very often requires an abdominal hysterectomy. To avoid hysterectomy several conservative methods of termination have been used. In this paper has been reported the case of 29 years old woman with a 12-week cervical pregnancy. She had been treated (methotrexate and potassium chloride application, ligation of the uterine arteries, local haemostatic sutures) before evacuation products of conception from the cervix. Post-operative period was uneventful. After a 9 day of postoperative stay the woman was discharged. These behaviour allowed for save of uterus and preserve future fertility.

摘要

宫颈妊娠是一种非常罕见的异位妊娠形式。通常它会伴有宫颈意外出血。因此,宫颈妊娠的治疗常常需要进行腹式子宫切除术。为避免子宫切除,已采用了几种保守的终止方法。本文报道了一例29岁女性,孕12周宫颈妊娠的病例。在从宫颈清除妊娠产物之前,她接受了治疗(应用甲氨蝶呤和氯化钾、结扎子宫动脉、局部止血缝合)。术后恢复顺利。术后住院9天后,该女性出院。这些措施得以保留子宫并维持未来的生育能力。

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