剖宫产瘢痕妊娠的一种新型手术治疗方法：腹腔镜辅助手术宫腔镜检查。
A novel surgical treatment for cesarean scar pregnancy: laparoscopically assisted operative hysteroscopy.
作者信息
Robinson James K, Dayal Molina B, Gindoff Paul, Frankfurter David
机构信息
Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
Department of Obstetrics and Gynecology, George Washington Medical Faculty Associates, Washington, DC.
出版信息
Fertil Steril. 2009 Oct;92(4):1497.e13-1497.e16. doi: 10.1016/j.fertnstert.2009.07.996. Epub 2009 Aug 15.
OBJECTIVE
To describe laparoscopically assisted hysteroscopy as a unique surgical intervention for a cesarean section scar ectopic pregnancy.
DESIGN
Case report.
SETTING
University hospital.
PATIENT(S): A 44-year-old woman, pregnant at 5 weeks and 6 days' gestational age with a cesarean section scar ectopic pregnancy.
INTERVENTION(S): The patient underwent serial transvaginal ultrasound examinations with Doppler flow studies, followed by a laparoscopically assisted operative hysteroscopy for evacuating the cesarean scar ectopic pregnancy.
MAIN OUTCOME MEASURE(S): Conservation of the uterus, fertility preservation.
RESULT(S): Successful conservative surgical treatment of cesarean section scar ectopic pregnancy.
CONCLUSION(S): Conservative laparoscopically assisted operative hysteroscopy can be used successfully in hemodynamically stable patients with a cesarean section scar ectopic pregnancy.
目的
描述腹腔镜辅助宫腔镜检查作为剖宫产瘢痕部位异位妊娠的一种独特手术干预方式。
设计
病例报告。
地点
大学医院。
患者
一名44岁女性，孕龄5周6天，诊断为剖宫产瘢痕部位异位妊娠。
干预措施
患者接受了经阴道超声及多普勒血流检查系列操作，随后接受了腹腔镜辅助宫腔镜手术以清除剖宫产瘢痕部位的异位妊娠。
主要观察指标
子宫保留情况、生育功能保留情况。
结果
成功对剖宫产瘢痕部位异位妊娠进行了保守性手术治疗。
结论
对于血流动力学稳定的剖宫产瘢痕部位异位妊娠患者，保守性腹腔镜辅助宫腔镜手术可成功应用。
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