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宫角异位妊娠：腹腔镜手术管理分步指南

Cornual ectopic pregnancy: laparoscopic management step by step.

作者信息

Varun Neha, Nigam Aruna, Elahi Arifa Anwar, Jain Abhinav

机构信息

Department of Obstetrics and Gynaecology, Hamdard Institute of Medical Sciences and Research, New Delhi, Delhi, India.

Department of Radio-Diagnosis, Hamdard Institute of Medical Sciences and Research, New Delhi, Delhi, India.

出版信息

BMJ Case Rep. 2018 Mar 28;2018:bcr-2017-223998. doi: 10.1136/bcr-2017-223998.

DOI:10.1136/bcr-2017-223998
PMID:29592997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5878308/
Abstract

Cornual (interstitial) ectopic pregnancy is an uncommon type of ectopic pregnancy which is located in the interstitial part of the fallopian tube. It accounts for 2%-4% of all ectopic pregnancies. Cornual pregnancies often pose a diagnostic and therapeutic challenge with a significant high morbidity and mortality as a result of massive intraperitoneal bleeding. A case of unruptured cornual ectopic pregnancy in a patient with abnormal uterine bleeding is reported which was successfully managed laparoscopically.

摘要

宫角（间质部）异位妊娠是一种罕见的异位妊娠类型，位于输卵管间质部。它占所有异位妊娠的2%-4%。宫角妊娠常带来诊断和治疗挑战，因大量腹腔内出血导致显著的高发病率和死亡率。本文报告一例子宫异常出血患者的未破裂宫角异位妊娠病例，该病例通过腹腔镜手术成功治疗。

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Cornual ectopic pregnancy: laparoscopic management step by step.宫角异位妊娠：腹腔镜手术管理分步指南
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引用本文的文献

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Cornual Pregnancy: Results of a Single-Center Retrospective Experience and Systematic Review on Reproductive Outcomes.宫角妊娠：单中心回顾性研究结果及生殖结局的系统评价
Medicina (Kaunas). 2024 Jan 21;60(1):186. doi: 10.3390/medicina60010186.
2
Cornual Pregnancy.宫角妊娠
Gynecol Minim Invasive Ther. 2023 Aug 10;12(3):130-134. doi: 10.4103/gmit.gmit_10_23. eCollection 2023 Jul-Sep.
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Methotrexate for Cornual Ectopic Pregnancy.甲氨蝶呤治疗宫角异位妊娠
Cureus. 2020 Aug 10;12(8):e9642. doi: 10.7759/cureus.9642.

本文引用的文献

1
Intramyometrial Injection of Vasopressin: A Novel Method for Hemostasis at Laparoscopic Management of Cornual Ectopic.子宫肌层内注射血管加压素：一种腹腔镜处理宫角异位妊娠时止血的新方法。
J Minim Invasive Gynecol. 2017 Nov-Dec;24(7):1071-1072. doi: 10.1016/j.jmig.2017.04.005. Epub 2017 Apr 18.
2
Cornual wedge resection for interstitial pregnancy and postoperative outcome.间质部妊娠的宫角楔形切除术及术后结局
Aust N Z J Obstet Gynaecol. 2017 Jun;57(3):342-345. doi: 10.1111/ajo.12497. Epub 2016 Jul 25.
3
[Cornual pregnancy: Management and subsequent fertility].[输卵管间质部妊娠：管理与后续生育能力]
Gynecol Obstet Fertil. 2016 Jan;44(1):11-6. doi: 10.1016/j.gyobfe.2015.10.011. Epub 2015 Dec 8.
4
Laparoscopical management of cornual pregnancies: a report of three cases.腹腔镜处理宫角妊娠三例报告。
Eur J Obstet Gynecol Reprod Biol. 2010 Aug;151(2):199-202. doi: 10.1016/j.ejogrb.2010.03.032. Epub 2010 Apr 28.
5
Current diagnosis and treatment of interstitial pregnancy.当前的间质部妊娠的诊断与治疗。
Am J Obstet Gynecol. 2010 Jan;202(1):15-29. doi: 10.1016/j.ajog.2009.07.054.
6
Laparoscopic cornuotomy in the management of an advanced interstitial ectopic pregnancy: a case report.腹腔镜Cornu 切开术治疗晚期间质异位妊娠：病例报告。
Gynecol Endocrinol. 2010 Mar;26(3):208-12. doi: 10.1080/09513590903215524.
7
Diagnosis and laparoscopic management of 11 consecutive cases of cornual ectopic pregnancy.11例宫角部异位妊娠的诊断与腹腔镜治疗
Arch Gynecol Obstet. 2009 Jul;280(1):59-64. doi: 10.1007/s00404-008-0872-4. Epub 2008 Dec 16.
8
Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases.腹腔镜治疗宫角妊娠：连续20例病例系列
Fertil Steril. 2008 Sep;90(3):839-43. doi: 10.1016/j.fertnstert.2007.07.1288. Epub 2007 Oct 23.
9
The conservative management of interstitial pregnancy.间质部妊娠的保守治疗
BJOG. 2004 Nov;111(11):1283-8. doi: 10.1111/j.1471-0528.2004.00442.x.
10
Interstitial line: sonographic finding in interstitial (cornual) ectopic pregnancy.间质线：间质部（宫角部）异位妊娠的超声表现。
Radiology. 1993 Oct;189(1):83-7. doi: 10.1148/radiology.189.1.8372223.