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腹腔镜下未破裂残角子宫妊娠切除术

Laparoscopic Resection of Unruptured Rudimentary Horn Pregnancy.

作者信息

Sharma Deepti, Usha M G, Gaikwad Ramesh, Sudha S

机构信息

Department of Obstetrics and Gynecology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

出版信息

J Gynecol Endosc Surg. 2011 Jul-Dec;2(2):101-4. doi: 10.4103/0974-1216.114161.

Abstract

A non-communicating rudimentary horn is an uncommon site for ectopic pregnancy. Rudimentary horn pregnancy (RHP) is a rare entity but associated with grave clinical consequences. Majority of these cases if not detected timely end up in uterine rupture and present as an obstetrical emergency. We present this case of a 32-year-old, third gravida with a 12 weeks live gestation in the right rudimentary horn, which was successfully managed with laparoscopic resection. Early diagnosis is the key stone in the management of such cases. Laparoscopic resection is a safe and viable option in the surgical management of unruptured RHP.

摘要

非交通性残角子宫是异位妊娠的罕见部位。残角子宫妊娠(RHP)是一种罕见情况,但会带来严重的临床后果。这些病例中的大多数若未及时发现,最终会导致子宫破裂并表现为产科急症。我们在此呈现一例32岁、孕3产的患者,其右侧残角子宫内有12周的活胎妊娠,通过腹腔镜切除术成功治疗。早期诊断是此类病例管理的关键。腹腔镜切除术是未破裂RHP手术治疗中一种安全可行的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcd9/4453207/3023bf686507/JGES-2-101-g001.jpg

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