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卵巢妊娠的外科治疗

Surgical Treatment of Ovarian Pregnancy.

作者信息

Thanasa Efthymia, Thanasas Ioannis, Koutalia Nikoleta, Mousia Maria

机构信息

Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Department of Obstetrics and Gynecology, General Hospital of Trikala, Trikala, Greece.

出版信息

Case Rep Obstet Gynecol. 2021 Feb 24;2021:6618751. doi: 10.1155/2021/6618751. eCollection 2021.

Abstract

The description of this case concerns the early diagnosis and the surgical treatment of a patient diagnosed with an ectopic ovarian pregnancy. A gravida 2, para 0 woman with a history of termination of pregnancy in the second trimester, was referred to the outpatients of the Gynecologic Department of the General Hospital of Trikala, reporting vaginal bleeding, accompanied by a deep, mild pain in the abdomen for a few days. The urine pregnancy test was positive. The transvaginal ultrasound in combination with the -chorionic gonadotropin level was indicative of an ectopic pregnancy, and the surgical treatment of the patient was decided. Intraoperatively, the presence of an ovarian ectopic pregnancy was detected, and a wedge resection of the affected ovary was performed. The patient was discharged from our clinic on the third postoperative day, with instructions for weekly follow-up of the -chorionic gonadotropin level until it returns to normal values.

摘要

该病例描述涉及一名被诊断为异位卵巢妊娠患者的早期诊断及手术治疗。一名孕2产0、有中期妊娠终止史的女性因出现阴道出血并伴有腹部深部轻度疼痛数天,被转诊至特里卡拉综合医院妇科门诊。尿妊娠试验呈阳性。经阴道超声检查结合绒毛膜促性腺激素水平提示为异位妊娠,遂决定对该患者进行手术治疗。术中发现卵巢异位妊娠,并对患侧卵巢进行了楔形切除术。患者术后第三天从我们诊所出院,医嘱每周随访绒毛膜促性腺激素水平直至恢复正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e288/7929658/b979d2896950/CRIOG2021-6618751.001.jpg

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