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既往输卵管妊娠行输卵管切除术后发生间质部异位妊娠——病例报告

Interstitial ectopic pregnancy after salpingectomy due to previous tubal pregnancy - a case report.

作者信息

Marciniak A, Nawrocka-Rutkowska J, Szydłowska I, Wiśniewska B, Wielgoszewska O, Starczewski A

出版信息

Clin Exp Obstet Gynecol. 2016;43(6):893-895.

Abstract

Ectopic pregnancy is the development of the embryo outside the uterine cavity. In recent years an increase in the incidence of ectopic pregnancies has been observed. It is mainly related to the increased number of IVF procedures. The most frequent localization is the ampulla of the fallopian tube. In cases of intramural or cornual ectopic pregnancies, many patients have a history of ectopic pregnancy on the same side or underwent partial salpingectomy in the past. Treatment of such pregnancies involves laparotomy and removal of the uterus or comu of the uterus. This case concerns a patient operated because of intramural pregnancy. She had a salpingectomy in the past because of tubal ectopic pregnancy on the same side. This case shows that even after removal of the fallopian tube there is still a risk of ectopic pregnancy in the intramural part of this tube.

摘要

异位妊娠是指胚胎在子宫腔外发育。近年来,异位妊娠的发病率有所上升。这主要与体外受精手术数量的增加有关。最常见的着床部位是输卵管壶腹部。对于子宫肌壁间或宫角部异位妊娠的病例,许多患者有同侧异位妊娠史或过去曾接受过部分输卵管切除术。此类妊娠的治疗包括剖腹手术并切除子宫或子宫角。本病例涉及一名因子宫肌壁间妊娠而接受手术的患者。她过去因同侧输卵管异位妊娠而接受了输卵管切除术。该病例表明,即使切除了输卵管,该输卵管子宫肌壁间仍存在异位妊娠的风险。

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