Baxi Asha, Kaushal Manila, Karmalkar Hk, Sahu Peeti, Kadhi Pooja, Daval Baxi
Disha Fertility and Surgical Center, Indore, (M. P.), India.
J Hum Reprod Sci. 2010 May;3(2):108-10. doi: 10.4103/0974-1208.69333.
Expectant management for tubal heterotopic pregnancy could be considered as a successful option in a symptom-free patient where the ectopic embryo has a limited craniocaudal length with no cardiac activity. We report the obstetric outcome after expectant management for a right tubal heterotopic pregnancy. Heterotopic pregnancy was first recognized at 6 weeks gestation in a 32-year-old salpingectomized woman with an 8-year history of subfertility who conceived after in utero transfer of three embryos obtained by in vitro fertilization. Expectant management and close ultrasonographic and clinical monitoring were done. The intrauterine pregnancy proceeded unremarkably. A cesarean section was performed for breech presentation, and it allowed the delivery of a healthy 2260-g male infant. The examination of the adnexa showed a pre-rupture of the right fallopian tube.
对于无症状且异位胚胎头臀长度有限且无心跳活动的输卵管异位妊娠患者，期待治疗可被视为一种成功的选择。我们报告了一例右侧输卵管异位妊娠期待治疗后的产科结局。异位妊娠首次在一名32岁的输卵管切除术后妇女妊娠6周时被发现，该妇女有8年的不孕病史，通过体外受精获得3个胚胎后经子宫内移植受孕。进行了期待治疗及密切的超声和临床监测。宫内妊娠进展顺利。因臀位行剖宫产，娩出一名健康的2260克男婴。附件检查显示右侧输卵管有破裂前表现。
