Chin H-Y, Chen F-P, Wang C-J, Shui L-T, Liu Y-H, Soong Y-K
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung, Taiwan.
Int J Gynaecol Obstet. 2004 Sep;86(3):411-6. doi: 10.1016/j.ijgo.2004.05.011.
A ruptured cornual pregnancy is a rare and challenging problem. We present two cases of cornual pregnancies after in vitro fertilization and embryo transfer (IVF-ET) treated by cornual resection, with an excellent perinatal outcome for the intrauterine pregnancy in both cases. A literature review of cornual pregnancy after IVF-ET is also included.
Two women had undergone IVF-ET because of tubal problems. Emergent laparotomy was performed because of internal bleeding at 12 weeks of gestation in one case and 17 weeks in the other, and in both cases, ruptured cornual pregnancies were found. Cornual resection and primary repair were performed. The women were discharged on the 6th and 7th postoperative day, respectively, and they underwent an elective cesarean delivery at 37 weeks of pregnancy. They were delivered of healthy babies, one weighing 2700 g and the other 2310 g.
These cases illustrate that good perinatal outcomes can be achieved by surgical intervention in heterotopic pregnancies, even in the event of a ruptured cornu.
宫角妊娠破裂是一个罕见且具有挑战性的问题。我们报告两例体外受精-胚胎移植（IVF-ET）后宫角妊娠病例，均通过宫角切除术治疗，两例子宫内妊娠的围产期结局均良好。本文还对IVF-ET后宫角妊娠进行了文献综述。
两名女性因输卵管问题接受了IVF-ET。其中一例在妊娠12周时因内出血行急诊剖腹手术，另一例在妊娠17周时行急诊剖腹手术，两例均发现宫角妊娠破裂。进行了宫角切除术及一期修复。两名女性分别于术后第6天和第7天出院，并在妊娠37周时接受了择期剖宫产。她们均分娩出健康婴儿，一个体重2700克，另一个体重2310克。
这些病例表明，即使在宫角破裂的情况下，异位妊娠通过手术干预也可获得良好的围产期结局。
