Ross Reneita, Lindheim Steven R, Olive David L, Pritts Elizabeth A
Department of Obstetrics and Gynecology, University of Wisconsin, Madison, USA.
J Minim Invasive Gynecol. 2006 Jan-Feb;13(1):74-8. doi: 10.1016/j.jmig.2005.11.005.
To introduce a novel tubal-sparing regimen for the treatment of nonruptured cornual pregnancies.
Case report and systematic review of the literature.
Tertiary Care University setting.
Two patients referred for care in our subspecialty clinic.
Laparoscopic surgery, dilation and evacuation, and postoperative methotrexate injection. Systematic review of the literature.
Both medical and surgical treatments for cornual gestation exist; however, each is not without its shortcomings. Medical treatment is associated with failure rates that may result in uterine rupture and catastrophic hemorrhage. Surgical treatment that involves hysterectomy causes a loss of future childbearing capability. Surgical treatment that involves resection of the involved cornual region is associated with decreased fertility rates and increased rates of uterine rupture in future pregnancies. Our treatment regimen is safe and effective and conserves future fertility.
A cornual gestation is one of the most hazardous types of ectopic gestation. The diagnosis and treatment of such a pregnancy is challenging and constitutes an urgent medical situation. We herein introduce a novel regimen for the treatment of nonruptured cornual pregnancies. The existing treatment regimens are also systematically reviewed.
介绍一种用于治疗未破裂宫角妊娠的新型保留输卵管方案。
病例报告及文献系统综述。
三级医疗大学附属医院。
两名患者转诊至我们的专科门诊接受治疗。
腹腔镜手术、刮宫术及术后甲氨蝶呤注射。文献系统综述。
宫角妊娠的药物治疗和手术治疗均存在，但每种方法都有其不足之处。药物治疗的失败率可能导致子宫破裂和灾难性出血。涉及子宫切除术的手术治疗会导致未来生育能力丧失。涉及切除受累宫角区域的手术治疗与未来妊娠的生育率降低和子宫破裂率增加有关。我们的治疗方案安全有效，并能保留未来生育能力。
宫角妊娠是最危险的异位妊娠类型之一。此类妊娠的诊断和治疗具有挑战性，构成紧急医疗情况。我们在此介绍一种治疗未破裂宫角妊娠的新型方案。同时也对现有治疗方案进行了系统综述。
