Tapià J E, Locher G W, Goebbels R, Tresch S
Abteilung für Geburtshilfe und Gynäkologie, Bezirksspital Zweisimmen.
Schweiz Med Wochenschr. 1987 Dec 19;117(51):2081-3.
The clinical course of an intramural pregnancy in a 28-year-old nullipara is reported. Clinical and sonographic symptoms were not specific. The diagnosis was suspected on laparoscopy. At laparotomy, evidence of incipient rupture of the uterus was found, but no intraperitoneal hemorrhage. The gestational sac was removed without opening the uterine cavum, and the localization within the myometrium was confirmed histologically. Intramural pregnancy is a rare event whose pathogenesis is not clear. Surgical treatment with conservation of the uterus is possible in some cases.
报告了一名28岁未孕女性子宫肌壁间妊娠的临床过程。临床和超声症状均不具有特异性。腹腔镜检查时怀疑有该诊断。剖腹手术时，发现子宫有早期破裂迹象，但无腹腔内出血。未打开子宫腔就取出了妊娠囊，子宫肌层内的定位经组织学证实。子宫肌壁间妊娠是一种罕见情况，其发病机制尚不清楚。在某些情况下，可以进行保留子宫的手术治疗。
