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联合药物-宫腔镜保守治疗存活的宫颈妊娠:一例报告

Combined medical-hysteroscopic conservative treatment of a viable cervical pregnancy: A case report.

作者信息

Matteo Maria, Nappi Luigi, Rosenberg Piergiorgio, Greco Pantaleo

机构信息

Operative Unit of Obstetrics and Gynecology, Department of Surgical Sciences, University of Foggia, Foggia, Italy.

出版信息

J Minim Invasive Gynecol. 2006 Jul-Aug;13(4):345-7. doi: 10.1016/j.jmig.2006.03.009.

DOI:10.1016/j.jmig.2006.03.009
PMID:16825080
Abstract

Cervical pregnancy (CP) is an uncommon ectopic pregnancy that accounts for approximately less than 1% of extrauterine gestations. This case report describes a case of a viable ectopic CP successfully treated with systemic methotrexate therapy combined with hysteroscopic local endocervical resection of the heterotopic gestational sac. This approach, if validated, could be considered the treatment of choice to preserve the uterus in these young patients.

摘要

宫颈妊娠(CP)是一种罕见的异位妊娠,约占宫外妊娠的1%以下。本病例报告描述了一例存活的异位宫颈妊娠,通过全身甲氨蝶呤治疗联合宫腔镜下宫颈局部切除异位妊娠囊成功治愈。这种方法如果得到验证,可被视为这些年轻患者保留子宫的首选治疗方法。

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1
Combined medical-hysteroscopic conservative treatment of a viable cervical pregnancy: A case report.联合药物-宫腔镜保守治疗存活的宫颈妊娠:一例报告
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2
Hysteroscopic management of cesarean scar pregnancy after unsuccessful methotrexate treatment.甲氨蝶呤治疗失败后剖宫产瘢痕妊娠的宫腔镜处理
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Methotrexate in local treatment of cervical heterotopic pregnancy with successful perinatal outcome: case report.甲氨蝶呤局部治疗宫颈异位妊娠并获得成功围产期结局:病例报告
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[Treatment of cervical pregnancy with systemic methotrexate and KCI solution injection into the gestational sac--case report and review of literature].[全身应用甲氨蝶呤联合氯化钾溶液注入妊娠囊治疗宫颈妊娠——病例报告及文献复习]
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引用本文的文献

1
An Efficient Conservative Treatment Option for Cervical Pregnancy: Transcatheter Intra-Arterial Methotrexate Infusion Combined with Uterine Artery Embolization Followed by Curettage.经导管子宫动脉内甲氨蝶呤灌注联合子宫动脉栓塞后刮宫术:一种有效的宫颈妊娠保守治疗选择。
Med Sci Monit. 2019 Feb 28;25:1558-1565. doi: 10.12659/MSM.913262.
2
Management of cervical ectopic pregnancy after unsuccesful methotrexate treatment.甲氨蝶呤治疗失败后宫颈异位妊娠的管理
Iran J Reprod Med. 2014 Apr;12(4):285-8.
3
Hysteroscopic Removal of Cervical Ectopic Pregnancy Following Failed Intramuscular/Intra-Sac Methotrexate: A Case Report.
肌内/孕囊内注射甲氨蝶呤失败后经宫腔镜切除宫颈异位妊娠:一例报告
J Gynecol Surg. 2012 Oct;28(5):369-371. doi: 10.1089/gyn.2012.0006.
4
What is the best treatment of heterotopic cervical pregnancies for a successful pregnancy outcome?对于成功的妊娠结局而言,宫颈异位妊娠的最佳治疗方法是什么?
Clin Exp Reprod Med. 2012 Dec;39(4):187-92. doi: 10.5653/cerm.2012.39.4.187. Epub 2012 Dec 31.