子宫动脉栓塞术联合刮宫术治疗宫颈妊娠。
Uterine artery embolization followed by dilation and curettage for cervical pregnancy.
作者信息
Nakao Yoshifumi, Yokoyama Masatoshi, Iwasaka Tsuyoshi
机构信息
Department of Obstetrics and Gynecology Faculty of Medicine, Saga University, Saga City, Saga, Japan.
出版信息
Obstet Gynecol. 2008 Feb;111(2 Pt 2):505-7. doi: 10.1097/01.AOG.0000286771.10377.4e.
BACKGROUND
Cervical pregnancy can be a life-threatening condition due to the risk of severe hemorrhage. Progression of ultrasonographic diagnostic technology has allowed the early detection of cervical pregnancy. However, a standard treatment protocol for fertility preservation has not yet been established.
CASE
Two women with cervical pregnancy presented with cardiac activity at 6 and 7 weeks of gestation. They were treated with transfemoral uterine artery embolization followed by dilation and curettage with minimal bleeding. One patient gave birth to a healthy neonate 20 months after the procedure.
CONCLUSION
Early cervical pregnancies were treated with dilation and curettage after uterine artery embolization. This treatment can be considered as conservative management for patients who desire to preserve their fertility.
背景
宫颈妊娠因有严重出血风险，可能危及生命。超声诊断技术的进步使得宫颈妊娠能够早期被发现。然而，尚未建立标准的保留生育功能的治疗方案。
病例
两名宫颈妊娠女性在妊娠6周和7周时出现心搏。她们接受了经股动脉子宫动脉栓塞术，随后行刮宫术，出血极少。一名患者在术后20个月分娩出一名健康新生儿。
结论
早期宫颈妊娠在子宫动脉栓塞术后行刮宫术治疗。对于希望保留生育功能的患者，这种治疗可被视为保守治疗。
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