经阴道镜检查，在先前剖宫产瘢痕缺损处行氨甲环酸注射治疗异位妊娠。
Resectoscopic treatment of ectopic pregnancy in previous cesarean delivery scar defect with vasopressin injection.
机构信息
Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
出版信息
Fertil Steril. 2011 Aug;96(2):e80-2. doi: 10.1016/j.fertnstert.2011.05.032. Epub 2011 Jun 12.
OBJECTIVE
To describe resectoscopic treatment with vasopressin injection as an effective surgical intervention for ectopic pregnancy in previous cesarean delivery scar (PCDS) defect.
DESIGN
Case report.
SETTING
University hospital.
PATIENT(S): Two women with ectopic pregnancy in PCDS defect.
INTERVENTION(S): The patients underwent transvaginal ultrasound examination, followed by operative hysteroscopy with vasopressin injection for evacuating the ectopic pregnancy in PCDS defect.
MAIN OUTCOME MEASURE(S): Conservation of the uterus.
RESULT(S): Successful resectoscopic treatment of ectopic pregnancy in PCDS defect.
CONCLUSION(S): Resectoscopic treatment of ectopic pregnancy in PCDS defect is a safe and efficient technique that has the advantage of a rapid return to normal levels of β-hCG. Intracervical vasopressin administration could decrease intraoperative bleeding and provide a clear view during the operation.
目的
描述在剖宫产瘢痕缺陷（PCDS）部位异位妊娠中使用血管加压素注射行镜下切除术的效果，认为这是一种有效的手术干预方法。
设计
病例报告。
地点
大学医院。
患者
两名 PCDS 部位异位妊娠患者。
干预
患者行经阴道超声检查，然后行手术宫腔镜检查，并注射血管加压素以清除 PCDS 部位的异位妊娠。
主要观察指标
保留子宫。
结果
PCDS 部位异位妊娠的镜下切除治疗成功。
结论
PCDS 部位异位妊娠的镜下切除治疗是一种安全有效的技术，其优势在于β-HCG 能迅速恢复正常水平。宫颈内给予血管加压素可减少术中出血，并在手术过程中提供清晰的视野。
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