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宫颈妊娠:一例大出血的微创、血停治疗病例报告并文献复习。

Cervical ectopic pregnancy: A case report of a massive pregnancy with a minimally invasive blood-free treatment and a review of the literature.

机构信息

Department of Gynecology and Obstetrics, Angers University Hospital, France.

Department of Gynecology and Obstetrics, Angers University Hospital, France.

出版信息

J Gynecol Obstet Hum Reprod. 2024 Dec;53(10):102837. doi: 10.1016/j.jogoh.2024.102837. Epub 2024 Aug 14.

DOI:10.1016/j.jogoh.2024.102837
PMID:39151792
Abstract

Cervical ectopic pregnancy is one of the rarest types of pregnancy, representing less than 1 % of ectopic pregnancies. We report the case of minimally invasive management of a voluminous cervical ectopic pregnancy at 9 weeks gestation using uterine artery embolization and in situ methotrexate. During follow-up, we encountered no hemorrhagic complications, while β-hCG values returned to normal by Day 104 and the uterine cavity fully recovered within 6 months. Additionally, we present a review of the literature on this topic.

摘要

宫颈妊娠是最罕见的妊娠类型之一,占异位妊娠的比例不足 1%。我们报告了一例 9 周妊娠、体积较大的宫颈妊娠,采用子宫动脉栓塞术联合局部甲氨蝶呤治疗。随访期间,未发生出血性并发症,β-hCG 值于第 104 天恢复正常,宫腔于 6 个月内完全恢复。此外,我们对该主题的文献进行了回顾。

相似文献

1
Cervical ectopic pregnancy: A case report of a massive pregnancy with a minimally invasive blood-free treatment and a review of the literature.宫颈妊娠:一例大出血的微创、血停治疗病例报告并文献复习。
J Gynecol Obstet Hum Reprod. 2024 Dec;53(10):102837. doi: 10.1016/j.jogoh.2024.102837. Epub 2024 Aug 14.
2
Uterine Artery Embolization and Methotrexate Infusion as Sole Management for Caesarean Scar and Cervical Ectopic Pregnancies: A Single-Center Experience and Literature Review.子宫动脉栓塞术联合甲氨蝶呤灌注治疗剖宫产瘢痕妊娠和宫颈妊娠:单中心经验及文献复习。
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Outcome, complications and future fertility in women treated with uterine artery embolization and methotrexate for non-tubal ectopic pregnancy.接受子宫动脉栓塞术和甲氨蝶呤治疗的非输卵管异位妊娠女性的结局、并发症及未来生育能力
Eur J Obstet Gynecol Reprod Biol. 2014 Nov;182:172-6. doi: 10.1016/j.ejogrb.2014.09.026. Epub 2014 Sep 27.
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Outcomes of Bilateral Uterine Artery Chemoembolization in Combination with Surgical Evacuation or Systemic Methotrexate for Cervical Pregnancy.双侧子宫动脉化疗栓塞联合手术清宫或全身应用甲氨蝶呤治疗宫颈妊娠的疗效
J Minim Invasive Gynecol. 2015 Sep-Oct;22(6):1029-35. doi: 10.1016/j.jmig.2015.05.018. Epub 2015 May 30.
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The use of super-selective uterine artery branch embolization and methotrexate in cervical pregnancy - case reports and literature review.经阴道超声引导下子宫动脉分支超选择插管栓塞术联合甲氨蝶呤治疗宫颈妊娠 6 例临床分析及文献复习
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Conservative management of cervical pregnancy: a report of two cases.宫颈妊娠的保守治疗:两例报告
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Interventions for non-tubal ectopic pregnancy.非输卵管异位妊娠的干预措施。
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Successful conservative management of cervical ectopic pregnancy: a case series.成功保守治疗宫颈妊娠:病例系列。
Arch Gynecol Obstet. 2011 Jun;283(6):1215-7. doi: 10.1007/s00404-010-1529-7. Epub 2010 May 29.
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A 20 year experience in the management of non-tubal ectopic pregnancies in a tertiary hospital - a retrospective review.一家三级医院 20 年非输卵管异位妊娠管理经验——回顾性研究。
Reprod Health. 2024 Jul 2;21(1):95. doi: 10.1186/s12978-024-01838-6.

引用本文的文献

1
Cervical Ectopic Pregnancies-Imaging and Endovascular Treatment.宫颈异位妊娠——影像学与血管内治疗
Diagnostics (Basel). 2025 Aug 4;15(15):1956. doi: 10.3390/diagnostics15151956.
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Successful Management of Cervical Ectopic Pregnancy with Methotrexate in a Nulliparous Woman: A Case Report.甲氨蝶呤成功治疗未育女性宫颈异位妊娠:一例报告
Reports (MDPI). 2025 Jun 7;8(2):91. doi: 10.3390/reports8020091.