Ophir E, Singer-Jordan J, Oettinger M, Odeh M, Tendler R, Feldman Y, Fait V, Bornstein J
Department of Obstetrics, Western Galilee Hospital, PO Box 21, Nahariya, Israel.
Hum Reprod. 2004 Aug;19(8):1774-7. doi: 10.1093/humrep/deh307. Epub 2004 Jun 24.
Interstitial pregnancy is rare and dangerous variation of ectopic pregnancy. We describe a case of unilateral interstitial viable twin pregnancy treated by selective uterine artery embolization. A 23-year-old women with clinical and ultrasonic diagnosis of viable twin interstitial pregnancy was treated by selective uterine artery embolization after failure of systemic methotrexate treatment. Her serum beta-HCG was undetectable 2 months after the procedure and the ultrasound scan 70 days after embolization showed only multiple echogenic spots in the right uterine cornua. This therapeutic modality seems to be effective for conservative management of interstitial ectopic pregnancy, and as a prophylactic measure before surgical intervention to prevent major bleeding.
间质部妊娠是异位妊娠中罕见且危险的一种类型。我们报道一例通过选择性子宫动脉栓塞术治疗的单侧间质部存活双胎妊娠病例。一名23岁女性，经临床及超声诊断为存活双胎间质部妊娠，在全身甲氨蝶呤治疗失败后接受了选择性子宫动脉栓塞术。术后2个月其血清β-HCG检测不到，栓塞术后70天的超声检查显示右侧子宫角仅有多个高回声斑点。这种治疗方式似乎对间质部异位妊娠的保守治疗有效，并且可作为手术干预前预防大出血的一种预防性措施。
