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孕中期宫颈异位妊娠的保守治疗

Conservative Management of a Second-Trimester Cervical Ectopic Pregnancy.

作者信息

Handley Katelyn F, Bergeron Lauren M, Biggio Joseph R

机构信息

Department of Obstetrics and Gynecology, Ochsner Clinic Foundation, New Orleans, LA.

The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA.

出版信息

Ochsner J. 2020 Winter;20(4):459-462. doi: 10.31486/toj.20.0034.

Abstract

Cervical ectopic pregnancy is a rare condition, historically treated by hysterectomy. A 33-year-old female at 13 weeks 3 days' gestation was diagnosed with a cervical ectopic pregnancy. She underwent a uterine artery embolization, fetal intrathoracic potassium chloride injection, amniocentesis, and ultrasound-guided suction dilation and curettage with the use of intracervical vasopressin, flowable gelatin with thrombin, and cervical cerclage. Advanced cervical ectopic pregnancy can be successfully managed in a conservative fashion in a patient who strongly desires future fertility.

摘要

宫颈异位妊娠是一种罕见病症,过去一直通过子宫切除术进行治疗。一名妊娠13周零3天的33岁女性被诊断为宫颈异位妊娠。她接受了子宫动脉栓塞术、胎儿胸腔内氯化钾注射、羊膜穿刺术,以及在宫颈内使用血管加压素、含凝血酶的可流动明胶和宫颈环扎术的超声引导下吸刮术。对于强烈渴望未来生育的患者,晚期宫颈异位妊娠可以通过保守方式成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7e9/7755558/da9d98bbd96d/toj-20-0034-figure6.jpg

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