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在杂交手术室中利用盆腔动脉造影术改善晚期宫外妊娠的管理。

Improving the management of an advanced extrauterine pregnancy using pelvic arteriography in a hybrid operating suite.

作者信息

Smrtka Michael P, Gunatilake Ravindu, Miller Michael J, Heine R Phillips, Brown Haywood L

机构信息

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.

出版信息

AJP Rep. 2012 Nov;2(1):63-6. doi: 10.1055/s-0032-1322507. Epub 2012 Jul 16.

Abstract

Advanced extrauterine pregnancy is an extremely rare, life-threatening pregnancy complication. Management of these pregnancies presents significant challenges, especially when they have progressed to an advanced stage of fetal viability. With high rates of maternal and fetal mortality associated with this complication, delivery or pregnancy interruption should be expedited following diagnosis. Localization of the placenta and its blood supply is critical to preoperative planning. Hybrid operating suites that can accommodate a multidisciplinary team of subspecialists may improve the chance of a successful outcome with this rare complication.

摘要

晚期宫外孕是一种极其罕见且危及生命的妊娠并发症。这类妊娠的处理面临重大挑战,尤其是当它们进展到胎儿具有存活能力的晚期阶段时。由于这种并发症与高孕产妇和胎儿死亡率相关,诊断后应尽快进行分娩或终止妊娠。胎盘及其血供的定位对于术前规划至关重要。能够容纳多学科专科医生团队的混合手术室可能会提高处理这种罕见并发症获得成功结果的几率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d069/3653508/e494cb2eb575/ajpr02063-1.jpg

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