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输卵管妊娠行输卵管切除术后β-hCG水平持续升高：是好消息还是坏消息？

Persistent increase of β-hCG level after salpingectomy in tubal pregnancy: Good or bad news?

作者信息

Pinto Ribeiro Pedro Cristiano, Amann Niklas, Alba Alejandre Irene, Kost Bernd, Mahner Sven, Kaltofen Till

机构信息

Department of Obstetrics and Gynecology LMU Munich Munich Germany.

出版信息

Clin Case Rep. 2021 Mar 11;9(4):2369-2372. doi: 10.1002/ccr3.4039. eCollection 2021 Apr.

DOI:10.1002/ccr3.4039
PMID:33936697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8077415/
Abstract

Heterotopic pregnancy is a rare event in natural conception (1:30000). We describe a case of a 36-year-old nulliparous. She presented to our department in the 4 + 6 gestational week with two simultaneous pregnancies intrauterine and extrauterine. Here, we compare treatment options and ultrasound findings to help examiners avoid inadequate therapeutic approaches.

摘要

异位妊娠在自然受孕中是一种罕见情况（1:30000）。我们描述了一例36岁未生育女性的病例。她在孕4⁺6周时前来我院就诊，同时存在宫内和宫外两个妊娠。在此，我们比较治疗方案和超声检查结果，以帮助检查人员避免不恰当的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faff/8077415/0e9caa4511c1/CCR3-9-2369-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faff/8077415/876f3638dacd/CCR3-9-2369-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faff/8077415/0e9caa4511c1/CCR3-9-2369-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faff/8077415/876f3638dacd/CCR3-9-2369-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faff/8077415/0e9caa4511c1/CCR3-9-2369-g001.jpg

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1
Persistent increase of β-hCG level after salpingectomy in tubal pregnancy: Good or bad news?输卵管妊娠行输卵管切除术后β-hCG水平持续升高：是好消息还是坏消息？
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本文引用的文献

1
Pseudoembryo associated with pseudogestational sac: A novel sonographic finding in ectopic pregnancy.与假妊娠囊相关的假胚胎：异位妊娠的一种新超声表现。
Eur J Radiol Open. 2019 Aug 8;6:281-283. doi: 10.1016/j.ejro.2019.06.004. eCollection 2019.
2
Laparoscopic Strategy for Heterotopic Interstitial Pregnancy Following Assisted Reproductive Techniques.辅助生殖技术后异位间质部妊娠的腹腔镜治疗策略
JSLS. 2019 Apr-Jun;23(2). doi: 10.4293/JSLS.2018.00109.
3
Early Diagnosis of Heterotopic Pregnancy in a Primigravid Without Risk Factors in the Emergency Department.
急诊科对无危险因素初孕妇异位妊娠的早期诊断
Clin Pract Cases Emerg Med. 2019 Feb 26;3(2):162-163. doi: 10.5811/cpcem.2019.1.41312. eCollection 2019 May.
4
Heterotopic pregnancy - how easily you can go wrong in diagnosing? A case study.异位妊娠——诊断中多容易出错？一项病例研究。
J Ultrason. 2018;18(75):355-358. doi: 10.15557/JoU.2018.0052.
5
Anaesthesia for non-obstetric surgery during pregnancy.孕期非产科手术的麻醉
Indian J Anaesth. 2016 Apr;60(4):234-41. doi: 10.4103/0019-5049.179445.
6
Hemorrhagic heterotopic pregnancy in a setting of prior tubal ligation and re-anastomosis.既往输卵管结扎及再吻合术后发生的出血性异位妊娠。
J Radiol Case Rep. 2015 Jul 31;9(7):38-46. doi: 10.3941/jrcr.v9i7.2386. eCollection 2015 Jul.
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Diagnosis and management of ectopic pregnancy.异位妊娠的诊断与管理
Am Fam Physician. 2014 Jul 1;90(1):34-40.
8
Diagnostic clues to ectopic pregnancy.异位妊娠的诊断线索。
Radiographics. 2008 Oct;28(6):1661-71. doi: 10.1148/rg.286085506.
9
Local treatment of ectopic pregnancy.异位妊娠的局部治疗。
Semin Reprod Med. 2007 Mar;25(2):99-115. doi: 10.1055/s-2007-970049.
10
Non-surgical management of live ectopic pregnancy with ultrasound-guided local injection: a case series.超声引导下局部注射治疗活胎异位妊娠的非手术管理：病例系列
Ultrasound Obstet Gynecol. 2005 Mar;25(3):282-8. doi: 10.1002/uog.1822.