Cheng Zhongping, Xu Lizhen, Zhu Yu, Dai Hong, Qu Xiaoyan, Gong Jun
Department of Obstetrics and Gynecology, Yangpu Central Hospital, Shanghai, China.
J Laparoendosc Adv Surg Tech A. 2009 Aug;19(4):509-12. doi: 10.1089/lap.2008.0361.
Interstitial pregnancy is a rare form of ectopic pregnancy, but it results in significant maternal morbidity and mortality. In this paper, describe a case of interstitial pregnancy that was successfully managed by laparoscopic occlusion of the ipsilateral ascending branch of uterine artery and the communication of the ovarian artery. It would help to minimize the active bleeding and allow removing the gestation sac, placental tissue, and repair the interstitial tube. In this case, the operative bleeding was 80 mL only, and the operative time was 70 minutes. The patient shared good postoperative recovery, and serum beta human chorionic gonadotropin decreased to below normal levels within 1 month after the operation. This procedure should be considered as a treatment option for unruptured interstitial pregnancy and may allow for conserving the patient's uterus and fallopian tube and preserving the future fertility.
间质部妊娠是一种罕见的异位妊娠形式，但会导致严重的孕产妇发病率和死亡率。在本文中，描述了一例间质部妊娠病例，该病例通过腹腔镜阻断同侧子宫动脉升支和卵巢动脉交通支成功治疗。这有助于将活动性出血降至最低，并能取出妊娠囊、胎盘组织，修复间质部输卵管。在该病例中，术中出血量仅80毫升，手术时间为70分钟。患者术后恢复良好，术后1个月内血清β-人绒毛膜促性腺激素降至正常水平以下。该手术应被视为未破裂间质部妊娠的一种治疗选择，可能有助于保留患者的子宫和输卵管，并保留未来的生育能力。
