Goldberg Jeffrey M, Bedaiwy Mohamed A
Department of Gynecology and Obstetrics, the Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Obstet Gynecol. 2006 Feb;107(2 Pt 2):509-10. doi: 10.1097/01.AOG.0000187947.71490.d1.
We report the technique and long-term outcome after a conservative approach for the treatment of heterotopic pregnancy.
Two women aged 31 and 30 years presented with heterotopic pregnancies after controlled ovarian hyperstimulation intrauterine insemination. Transvaginal ultrasound-guided needle aspiration of the ectopic gestational sac and instillation of hyperosmolar glucose were performed. The ectopic pregnancies resolved without further intervention in both cases. The intrauterine pregnancies resulted in live births by cesarean delivery. Bilateral tubal patency was subsequently confirmed in both patients.
Local injection of 50% glucose after aspiration of the tubal gestational sac fluid under transvaginal ultrasonographic guidance proved effective in resolving the ectopic pregnancy without adversely affecting the concurrent intrauterine pregnancy. This is a simple and inexpensive treatment modality.
我们报告了采用保守方法治疗异位妊娠的技术及长期结果。
两名分别为31岁和30岁的女性在控制性卵巢过度刺激及宫内人工授精后发生了异位妊娠。在经阴道超声引导下对异位妊娠囊进行针吸，并注入高渗葡萄糖。两例异位妊娠均未进行进一步干预而得以解决。宫内妊娠通过剖宫产分娩出活婴。随后证实两名患者双侧输卵管均通畅。
经阴道超声引导下抽吸输卵管妊娠囊液后局部注射50%葡萄糖，被证明可有效解决异位妊娠，且不会对同期宫内妊娠产生不利影响。这是一种简单且成本低廉的治疗方式。
