Tsakos Elias, Tsagias Nikolaos, Dafopoulos Konstantinos
EmbryoClinic, Thessaloniki, Greece.
Department of Obstetrics and Gynecology, Democritus University of Thrace, Xanthi, Greece.
J Minim Invasive Gynecol. 2015 Jul-Aug;22(5):896-901. doi: 10.1016/j.jmig.2015.03.009. Epub 2015 Mar 18.
This is a case report and literature review regarding early diagnosis and management of a cervical heterotopic pregnancy. A 41-year-old gravida 2 para 0 with premature ovarian failure was treated successfully in an in vitro fertilization program with donor oocytes. A transvaginal ultrasound scan revealed the presence of a heterotopic pregnancy, with an intrauterine embryo and an intracervical embryo. Both embryos had positive heartbeats. Aspiration of the cervical pregnancy was followed by Foley catheter placement and cervical cerclage suturing. Monitoring of the patient resulted in elective uncomplicated cesarean section delivery at 38 weeks following an uneventful pregnancy. Given the lack of guidelines for the management of heterotopic cervical pregnancy, we reviewed the literature suggesting the most effective method. The value of early diagnosis and management is concluded from the literature, in support of our management principles.
这是一篇关于宫颈异位妊娠早期诊断与处理的病例报告及文献综述。一名41岁、孕2产0且患有卵巢早衰的女性，在接受供卵体外受精治疗时获得成功。经阴道超声扫描发现存在异位妊娠，有一个宫内胚胎和一个宫颈内胚胎。两个胚胎均有胎心。在对宫颈妊娠进行抽吸后，放置了 Foley 导管并进行宫颈环扎缝合。对患者进行监测后，在孕期顺利的情况下，于38周进行了择期无并发症剖宫产分娩。鉴于目前缺乏宫颈异位妊娠的管理指南，我们查阅了文献以探寻最有效的方法。从文献中总结出早期诊断和处理的价值，以支持我们的处理原则。
