Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital of the University of Pittsburgh Medical Center, PA, USA.
Am J Obstet Gynecol. 2010 Jan;202(1):15-29. doi: 10.1016/j.ajog.2009.07.054.
The incidence of interstitial pregnancy is rising. Traditional treatment with laparotomy, hysterectomy, or cornual wedge resection is associated with high morbidity and detrimental effects on future fertility. A diverse array of alternate treatments has been introduced over the last 3 decades, with the common goal of achieving a minimally invasive, standardized management strategy. This has been facilitated by impressive strides towards prompt diagnosis, both radiologically and chemically. In this review, we explore the current state of the art diagnostic criteria and the clinically significant diverse therapeutic options with supporting literature. Finally, we propose a structured, best-practice management plan for the once-lethal interstitial pregnancy, based on the current literature.
间质部妊娠的发病率正在上升。传统的治疗方法包括剖腹手术、子宫切除术或宫角楔形切除术，这些方法与高发病率和对未来生育能力的不利影响有关。在过去的 30 年中，引入了多种替代治疗方法，其共同目标是实现微创、标准化的管理策略。这得益于在放射学和化学方面的显著进展，使诊断变得更加迅速。在这篇综述中，我们探讨了当前的诊断标准和具有临床意义的多种治疗选择，并提供了相关文献支持。最后，我们根据目前的文献，为曾经致命的间质部妊娠提出了一种结构化的最佳实践管理方案。
