Gaetani Maria, Di Gennaro Daniele, Vimercati Antonella, Vitagliano Amerigo, Dellino Miriam, Malvasi Antonio, Loizzi Vera, Pinto Vincenzo, Cicinelli Ettore, Di Naro Edoardo, Lacalandra Angelo, Damiani Gianluca Raffaello
Department of Biomedical Sciences and Human Oncology, Gynaecologic and Obstetrics Clinic, University of Bari, Bari, Italy.
Gynecol Minim Invasive Ther. 2023 Aug 10;12(3):130-134. doi: 10.4103/gmit.gmit_10_23. eCollection 2023 Jul-Sep.
Cornual pregnancy (CP) is a subtype of ectopic pregnancy that is implanted in the interstitial segment of the fallopian tube which is defined as the tubal section crossing uterine muscular tissue. Widely recognized risk factors for CP are endometriosis, uterine leiomyomata, or pelvic inflammatory disease; all these diseases can cause tubal anatomic changes and consequently alter embryo physiological implant process. Many treatment options are available for this condition each one must be tailored according to patient and operating scenario. The incidence of uterine ruptures in the scarred uterus appears to be low, but the fear of it remains and therefore medical treatment might be favored over cornual wedge resection. The actual risk of uterine rupture after medical treatment is unknown. Multiple testing strategies exist to diagnose CP, but caution needs to be used to avoid a false diagnosis.
宫角妊娠(CP)是异位妊娠的一种亚型,指胚胎着床于输卵管间质部,该部位被定义为穿过子宫肌层的输卵管段。公认的宫角妊娠风险因素包括子宫内膜异位症、子宫平滑肌瘤或盆腔炎;所有这些疾病均可导致输卵管解剖结构改变,进而影响胚胎的生理着床过程。针对这种情况有多种治疗方案可供选择,每种方案都必须根据患者情况和手术场景进行调整。瘢痕子宫发生子宫破裂的发生率似乎较低,但对此的担忧依然存在,因此药物治疗可能比宫角楔形切除术更受青睐。药物治疗后子宫破裂的实际风险尚不清楚。存在多种诊断宫角妊娠的检测策略,但需谨慎操作以避免误诊。