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Operative Therapy for Heterotopic Scar Pregnancy and Successful Birth of the Intrauterine Foetus - Case Report and Review of the Literature.剖宫产瘢痕部位妊娠的手术治疗及宫内胎儿成功分娩——病例报告与文献复习
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Pitfalls in emergency department focused bedside sonography of first trimester pregnancy.孕早期急诊床旁重点超声检查的陷阱
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Clinical diagnosis and treatment of ectopic pregnancy.异位妊娠的临床诊断与治疗。
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J Ultrasound Med. 2013 Jul;32(7):1207-14. doi: 10.7863/ultra.32.7.1207.
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First-trimester contingent screening for trisomy 21 by biomarkers and maternal blood cell-free DNA testing.早孕期基于生物标志物和母体外周血游离胎儿 DNA 的唐氏综合征 contingent 筛查。
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Value of transvaginal sonography in diagnosing heterotopic pregnancy after in-vitro fertilization with embryo transfer.经阴道超声在诊断体外受精胚胎移植后异位妊娠中的价值。
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8
A pragmatic and evidence-based management of ectopic pregnancy.异位妊娠的实用和循证管理。
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9
Ectopic pregnancy: how the diagnostic and therapeutic management has changed.宫外孕：诊断和治疗管理的改变。
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10
Unforeseen consequences of the increasing rate of cesarean deliveries: early placenta accreta and cesarean scar pregnancy. A review.剖宫产率升高带来的意外后果：早期胎盘植入和剖宫产瘢痕妊娠。综述。
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异位妊娠和早期妊娠丢失的诊断方法：文献综述

Diagnostic Methods of Ectopic Pregnancy and Early Pregnancy Loss: a Review of the Literature.

作者信息

Hamza A, Meyberg-Solomayer G, Juhasz-Böss I, Joukhadar R, Takacs Z, Solomayer E-F, Baum S, Radosa J, Mavrova L, Herr D

机构信息

Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg.

Department of Obstetrics and Gynaecology, Würzburg University Medical Centre, Würzburg.

出版信息

Geburtshilfe Frauenheilkd. 2016 Apr;76(4):377-382. doi: 10.1055/s-0041-110204.

DOI:10.1055/s-0041-110204
PMID:27134292
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4846421/
Abstract

This review article presents recent evidence on early pregnancy loss and ectopic pregnancy. In the light of recent evidence, the β-hCG discriminatory zone may be extended in clinically stable cases without evidence of bleeding. A possible cut-off is 4300 mIU/ml, which corresponds to when a sonographer should detect an intrauterine pregnancy. Embryonic demise can be confirmed when a transvaginal ultrasound finding shows no heartbeat in an embryo of more than 7 mm CRL, no embryo in a gestational sac having a mean sac diameter of more than 25 mm, or no appearance of an embryo within 7-10 days after the primary examination. These are considered definitive signs of embryonic demise. Suggestive signs of embryonic demise require closer monitoring of the pregnancy.

摘要

这篇综述文章介绍了关于早期妊娠丢失和异位妊娠的最新证据。鉴于最新证据，在无出血迹象的临床稳定病例中，β - 人绒毛膜促性腺激素（β - hCG）鉴别值范围可能会扩大。一个可能的临界值是4300 mIU/ml，这相当于超声检查人员应该能够检测到宫内妊娠的时间。当经阴道超声检查发现头臀长超过7 mm的胚胎无心跳、平均孕囊直径超过25 mm的孕囊内无胚胎、或初次检查后7 - 10天内未出现胚胎时，可确诊胚胎死亡。这些被视为胚胎死亡的确切迹象。胚胎死亡的疑似迹象需要对妊娠进行密切监测。