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一种处理角度妊娠的新方法:病例系列。

A Novel Approach to Management of Angular Pregnancies: A Case Series.

机构信息

Department of Obstetrics and Gynecology, University of Chicago Medical Center, Chicago, Illinois.

Department of Obstetrics and Gynecology, University of Chicago Medical Center, Chicago, Illinois.

出版信息

J Minim Invasive Gynecol. 2019 Jan;26(1):178-181. doi: 10.1016/j.jmig.2018.08.002. Epub 2018 Aug 11.

Abstract

Cornual, interstitial, and angular pregnancies are terms that are often used interchangeably in both the literature and clinical setting to describe various ectopic pregnancies. The diagnosis of these pregnancies can be difficult, and fear of disrupting an intrauterine pregnancy can cause hesitation during evaluation and management. In our 2 cases, a combination of transvaginal and 3-dimensional ultrasound images provided assistance in the accurate diagnosis of angular ectopic pregnancies. Traditional management of these pregnancies includes a wedge resection for pregnancy resolution. In this set of 2 cases, we describe a unique surgical approach to resolve these pregnancies using operative hysteroscopy.

摘要

Cornual、interstitial 和 angular 妊娠是文献和临床环境中经常互换使用的术语,用于描述各种异位妊娠。这些妊娠的诊断可能很困难,并且对宫内妊娠的破坏的担忧可能会在评估和管理过程中引起犹豫。在我们的 2 个病例中,阴道超声和 3 维超声图像的结合有助于准确诊断角状异位妊娠。这些妊娠的传统治疗方法包括楔形切除以终止妊娠。在这 2 个病例中,我们描述了一种使用宫腔镜手术来解决这些妊娠的独特手术方法。

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