单侧放置输卵管阻塞微植入物后自然宫内妊娠
Spontaneous intrauterine pregnancy after unilateral placement of tubal occlusive microinsert.
作者信息
Omurtag Kenan, Pauli Samuel, Session Donna
机构信息
Department of Gynecology and Obstetrics, Emory University School of Medicine, 69 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA.
出版信息
Fertil Steril. 2009 Jul;92(1):393.e15-7. doi: 10.1016/j.fertnstert.2009.03.047. Epub 2009 Apr 28.
OBJECTIVE
To present a case in which the use of a titanium/nickel microinsert in the management of unilateral hydrosalpinx contributed to a spontaneous intrauterine pregnancy.
DESIGN
Case report.
SETTING
University hospital.
PATIENT(S): A 37-year-old nulligravid female with dense pelvic adhesive disease and unilateral hydrosalpinx.
INTERVENTION(S): Unilateral proximal occlusion of left fallopian tube with titanium/nickel microinsert.
MAIN OUTCOME MEASURE(S): Pregnancy.
RESULT(S): Spontaneous intrauterine pregnancy after confirmation via hysterosalpingogram of left tubal occlusion and right tubal patency.
CONCLUSION(S): Transcervical proximal tubal occlusion using titanium/nickel microinserts provides an alternative in the management of hydrosalpinx in the setting of tubal factor infertility. Additionally, in the setting of a unilateral hydrosalpinx, unilateral occlusion can contribute to spontaneous intrauterine pregnancy.
目的
介绍一例使用钛/镍微型插入物治疗单侧输卵管积水并促成自然宫内妊娠的病例。
设计
病例报告。
地点
大学医院。
患者
一名37岁未孕女性，患有严重盆腔粘连疾病和单侧输卵管积水。
干预措施
用钛/镍微型插入物对左侧输卵管进行单侧近端闭塞。
主要观察指标
妊娠情况。
结果
子宫输卵管造影证实左侧输卵管闭塞且右侧输卵管通畅后出现自然宫内妊娠。
结论
使用钛/镍微型插入物经宫颈进行输卵管近端闭塞为输卵管因素不孕情况下输卵管积水的治疗提供了一种替代方法。此外，在单侧输卵管积水的情况下，单侧闭塞有助于自然宫内妊娠。
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