间质部异位妊娠：保守性手术治疗
Interstitial ectopic pregnancy: conservative surgical management.
作者信息
Warda Hussein, Mamik Mamta M, Ashraf Mohammad, Abuzeid Mostafa I
机构信息
Department of Obstetrics and Gynecology, Hurley Medical Center, Flint, MI, USA.
Department of Obstetrics and Gynecology, Mount Sinai School of Medicine, New York, NY, USA.
出版信息
JSLS. 2014 Apr-Jun;18(2):197-203. doi: 10.4293/108680813X13753907292836.
INTRODUCTION
Interstitial pregnancy is a rare and life-threatening condition. Diagnosis and appropriate management are critical in preventing morbidity and death.
CASE DESCRIPTION
Four cases of interstitial pregnancy are presented. Diagnostic laparoscopy followed by laparotomy and cornuostomy with removal of products of conception was performed in 1 case. Laparoscopic cornuostomy and removal of products of conception were performed in the subsequent 3 cases with some modifications of the technique. Subsequent successful reproductive outcomes are also presented.
DISCUSSION
Progressively conservative surgical measures are being used to treat interstitial pregnancy successfully, with no negative impact on subsequent pregnancies.
引言
间质部妊娠是一种罕见且危及生命的情况。诊断和恰当的处理对于预防发病和死亡至关重要。
病例描述
本文介绍了4例间质部妊娠病例。1例患者接受了诊断性腹腔镜检查，随后行剖腹手术及子宫角部造口术并清除妊娠产物。后3例患者采用了腹腔镜子宫角部造口术并清除妊娠产物，手术技术有一些改进。文中还展示了随后成功的生殖结局。
讨论
逐渐采用的保守性手术措施已成功用于治疗间质部妊娠，且对后续妊娠无负面影响。
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