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[异位妊娠中输卵管的残留部分:病例回顾与报告]

[Remnant portion of the tube in ectopic pregnancy: review and report of a case].

作者信息

Maia Filho N L, Mathias L, Hiar J

机构信息

Clínica Obstétrica da Faculdade de Medicina de Jundiaí.

出版信息

Rev Paul Med. 1991 Sep-Oct;109(5):232-6.

PMID:1821069
Abstract

PURPOSE

After a review of the literature, to establish what the best treatment is to treat interstitial portion in ectopic gestations.

TYPE OF STUDY

Review and report of a case. SITE: Specialized Clinics Hospital of Franco da Rocha of the School of Medicine of Jundiaí.

PATIENTS

One patient of the School Hospital.

INTERVENTIONS

None.

MEASUREMENTS AND RESULTS

Review and clinical observation.

CONCLUSIONS

The authors present a case of an exceptional ectopic gestation with a remnant portion of the tube seen at the Hospital above, with absent contralateral ovary. They discuss the etiologic factors of the ectopic gestation with contralateral corpus luteum, and suggest the possibility of internal transmigration in the case presented. They comment on the clinical severity, as the area is highly vascularized, and they also comment of the diagnosis difficulties if gestation proceeds. They discuss the treatment for ectopic gestation in general and the possible prophylactic ways of dealing with the remnant portion of the tube in ectopic gestation. They conclude that randomized studies are needed to find out what the best treatment is for the interstitial portion during salpingectomy due to ectopic gestation.

摘要

目的

在回顾文献后,确定治疗异位妊娠间质部的最佳方法。

研究类型

病例回顾与报告。

地点

容迪亚伊医学院弗朗哥·达罗查专科医院。

患者

一名校医院患者。

干预措施

无。

测量与结果

回顾与临床观察。

结论

作者报告了上述医院收治的一例特殊异位妊娠病例,患侧输卵管有残留部分,对侧卵巢缺如。他们讨论了伴有对侧黄体的异位妊娠的病因,并提出了该病例存在内部迁移的可能性。他们指出该区域血管丰富,临床症状严重,还提到如果妊娠继续发展诊断会有困难。他们讨论了异位妊娠的一般治疗方法以及处理异位妊娠输卵管残留部分的可能预防措施。他们得出结论,需要进行随机研究以找出因异位妊娠行输卵管切除术时间质部的最佳治疗方法。

相似文献

1
[Remnant portion of the tube in ectopic pregnancy: review and report of a case].[异位妊娠中输卵管的残留部分:病例回顾与报告]
Rev Paul Med. 1991 Sep-Oct;109(5):232-6.
2
Tubal conservation with ectopic gestations. A reappraisal.异位妊娠时的输卵管保留。重新评估。
Am Surg. 1984 Apr;50(4):222-4.
3
[Pregnancy in the uterine horn after total salpingectomy].[全输卵管切除术后子宫角妊娠]
Rev Fr Gynecol Obstet. 1994 Jan;89(1):36-43.
4
[HELLP syndrome: review and report of a case].[HELLP综合征:病例回顾与报告]
Rev Paul Med. 1991 May-Jun;109(3):134-9.
5
Reproductive potential after methotrexate treatment of ectopic gestation in a community hospital.社区医院中异位妊娠经甲氨蝶呤治疗后的生殖潜能
J Reprod Med. 1999 Apr;44(4):335-8.
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[Extra-uterine pregnancies after in vitro fertilization. Six case reports].[体外受精后宫外孕。六例病例报告]
J Gynecol Obstet Biol Reprod (Paris). 1997;26(4):374-8.
7
[Rupture of the pregnant uterine horn following salpingectomy with resection of the interstitial portion. Report of 3 cases of which one followed in-vitro fertilization and embryo transfer].
J Gynecol Obstet Biol Reprod (Paris). 1986;15(5):641-6.
8
[Spontaneous bilateral ectopic pregnancy--an rare and dangerous occurrence].[自发性双侧异位妊娠——一种罕见且危险的情况]
Harefuah. 2000 Jan 2;138(1):8-9, 87.
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Factors influencing reproductive performance following previous ectopic pregnancy.既往异位妊娠后影响生殖性能的因素。
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10
Laparoscopic management of ectopic pregnancy.腹腔镜治疗异位妊娠
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