Tarafdari Azadeh, Ghaemi Marjan, Nasiri Khormoji Najmeh, Barkhordarioon Amirali, Hadizadeh Shiva, Parsaei Mohammadamin
Department of Obstetrics and Gynecology, Imam Khomeini Hospital Complex Tehran University of Medical Sciences Tehran Iran.
Vali-e-Asr Reproductive Health Research Center, Family Health Research Institute Tehran University of Medical Sciences Tehran Iran.
Clin Case Rep. 2025 Aug 19;13(8):e70812. doi: 10.1002/ccr3.70812. eCollection 2025 Aug.
We present a novel approach combining hysteroscopic flushing and laparoscopic milking for tubal ectopic pregnancy (EP) removal while preserving fallopian tubes. Postoperative beta-human chorionic gonadotropin (β-hCG) suspected remnant EP, necessitating methotrexate. Three-month follow-up confirmed bilateral tubal patency. This technique offers a tube-preserving treatment for EP; however, β-hCG monitoring is crucial.
我们提出了一种新颖的方法，将宫腔镜冲洗和腹腔镜挤推相结合，用于在保留输卵管的同时移除输卵管异位妊娠（EP）。术后β-人绒毛膜促性腺激素（β-hCG）提示可能残留EP，因此需要使用甲氨蝶呤。三个月的随访证实双侧输卵管通畅。该技术为EP提供了一种保留输卵管的治疗方法；然而，β-hCG监测至关重要。
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