宫颈妊娠保守治疗后发生的动静脉畸形。
Arteriovenous Malformation Following Conservative Management of Cervical Pregnancy.
作者信息
Tang Jennifer, Sobel Mara L, Murji Ally
机构信息
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toronto, Toronto, ON.
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Toronto, Toronto, ON; Department of Obstetrics & Gynaecology, Mount Sinai Hospital, University of Toronto, Toronto, ON.
出版信息
J Obstet Gynaecol Can. 2018 Sep;40(9):1186-1189. doi: 10.1016/j.jogc.2018.02.018. Epub 2018 Jul 11.
BACKGROUND
Medical management using potassium chloride feticide and methotrexate is often the first-line approach to cervical pregnancies.
CASE
A 25-year-old woman presenting with a cervical ectopic pregnancy was unsuccessfully managed with conservative therapy, resulting in an arteriovenous malformation requiring a laparoscopic hysterectomy.
CONCLUSION
Conservative management of ectopic pregnancies is the treatment of choice for young women looking to preserve fertility. However, medical management is not without risk, and this case illustrates one such complication.
背景
使用氯化钾杀胎剂和甲氨蝶呤进行药物治疗通常是宫颈妊娠的一线治疗方法。
病例
一名25岁宫颈异位妊娠女性接受保守治疗失败，导致出现动静脉畸形，需要进行腹腔镜子宫切除术。
结论
异位妊娠的保守治疗是希望保留生育能力的年轻女性的首选治疗方法。然而，药物治疗并非没有风险，本病例就说明了这样一种并发症。
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