Kim Jeong S, Nam Kye H, Kim Tae H, Lee Hae H, Lee Kwon H
Bucheon Hospital, Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, South Korea.
J Minim Invasive Gynecol. 2008 Sep-Oct;15(5):627-30. doi: 10.1016/j.jmig.2008.06.006. Epub 2008 Jul 26.
The objective of our study was to introduce a safe and effective method for the treatment of cervical pregnancy. This was a case series and took place at the minimal invasive surgery clinic at Soonchunhyang University Bucheon Hospital, Bucheon, Korea. From April 2005 through October 2007, a total of 10 patients with cervical pregnancy underwent hysteroscopic surgery. An 18 F foley catheter was inserted through the cervical canal after dilation, and the uterine cavity was irrigated with 3.5% H2O2 300 mL for prevention of unrelenting bleeding. Hysteroscopic removal of cervical gestation under ultrasonographic guidance was performed uneventfully. All patients had an unremarkable postoperative course. Serum beta-human chorionic gonadotropin levels were monitored after surgery and exhibited optimal decrease. All cases had histologic confirmation of products of conception removed from the cervix. The estimated blood loss was less than 50 mL. All patients were discharged after the first or second postoperative day. Hysteroscopic removal of cervical pregnancy with H2O2 is very useful and safe and preserves fertility.
我们研究的目的是介绍一种治疗宫颈妊娠的安全有效的方法。这是一个病例系列研究，在韩国富川市顺天乡大学富川医院的微创手术诊所进行。从2005年4月到2007年10月，共有10例宫颈妊娠患者接受了宫腔镜手术。扩张宫颈管后插入一根18F的Foley导管，并用300mL 3.5%的过氧化氢冲洗宫腔以预防持续性出血。在超声引导下顺利进行了宫腔镜下宫颈妊娠物清除术。所有患者术后过程均无异常。术后监测血清β-人绒毛膜促性腺激素水平，显示其呈理想下降。所有病例均经组织学证实从宫颈清除了妊娠产物。估计失血量少于50mL。所有患者在术后第一天或第二天出院。用过氧化氢进行宫腔镜下宫颈妊娠物清除术非常有用且安全，并且能保留生育能力。
