在一名不孕女性中，采用术中临时球囊阻断髂总动脉联合宫腔镜下宫颈管切除术并术后宫颈球囊治疗难治性宫颈妊娠。
Combined treatment with temporary intraoperative balloon occlusion of common iliac arteries and hysteroscopic endocervical resection with postoperative cervical balloon for intractable cervical pregnancy in an infertile woman.
作者信息
Yang Jehn-Hsiahn, Shih Jin-Chung, Liu Kao-Lang, Yang Yu-Shih
机构信息
Department of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
出版信息
Fertil Steril. 2007 Nov;88(5):1438.e11-3. doi: 10.1016/j.fertnstert.2007.01.033. Epub 2007 Jul 31.
OBJECTIVE
To describe treatment of an intractable cervical pregnancy that failed intracervical Foley catheter tamponade and uterine artery embolization followed by curettage of gestational tissue.
DESIGN
Case report.
SETTING
Tertiary-care university hospital.
PATIENT(S): A 37-year-old infertile woman who achieved an 8-week cervical pregnancy after IVF-ET.
INTERVENTION(S): Temporary intraoperative balloon occlusion of bilateral common iliac arteries in combination with hysteroscopic endocervical resection of the gestational tissue, followed by postoperative intracervical balloon compression for 3 days.
MAIN OUTCOME MEASURE(S): Serial serum beta-hCG concentrations.
RESULT(S): Complete removal of gestational products with preservation of fertility.
CONCLUSION(S): Temporary balloon occlusion of bilateral common iliac arteries in combination with hysteroscopic endocervical resection of cervical pregnancy was effective in the treatment of intractable cervical pregnancy and preserved the woman's future fertility.
目的
描述一例难治性宫颈妊娠的治疗过程，该病例采用宫颈 Foley 导管填塞和子宫动脉栓塞治疗失败，随后行妊娠组织刮宫术。
设计
病例报告。
地点
三级医疗大学医院。
患者
一名 37 岁的不孕妇女，体外受精 - 胚胎移植后发生 8 周宫颈妊娠。
干预措施
术中临时球囊阻断双侧髂总动脉，联合宫腔镜下宫颈妊娠组织切除术，术后宫颈球囊压迫 3 天。
主要观察指标
连续的血清β - 人绒毛膜促性腺激素浓度。
结果
成功清除妊娠产物，保留生育能力。
结论
双侧髂总动脉临时球囊阻断联合宫腔镜下宫颈妊娠组织切除术治疗难治性宫颈妊娠有效，且保留了患者未来的生育能力。
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