Confino E, Gleicher N
Department of Obstetrics and Gynecology, Mount Sinai Hospital Medical Center, Chicago, Illinois 60608.
Fertil Steril. 1989 Oct;52(4):600-3. doi: 10.1016/s0015-0282(16)60971-8.
Conservative management of ampullary and isthmic tubal pregnancies has been increasingly advocated to preserve the affected tubes and results in excellent outcome. A similar approach to interstitial pregnancies is more difficult because of the vascularity of the cornual area. We report here a novel surgical approach to this problem in two patients. Both patients had an unremarkable postoperative course. Hysterosalpingograms performed 5 and 6 months postoperatively demonstrated bilateral tubal patency. It is suggested that conservative surgical management may replace either cornual resection or hysterectomy in selected patients with unruptured interstitial pregnancies.
壶腹部和峡部输卵管妊娠的保守治疗越来越受到推崇，以保留患侧输卵管，且效果良好。由于宫角区域血管丰富，对间质部妊娠采用类似方法更为困难。我们在此报告两例针对该问题的新型手术方法。两名患者术后病程均无异常。术后5个月和6个月进行的子宫输卵管造影显示双侧输卵管通畅。建议对于部分未破裂的间质部妊娠患者，保守手术治疗可能会取代宫角切除术或子宫切除术。
