Abossolo T, Sommer J C, Dancoisne P, Orvain E, Tuaillon J, Isoard L
CHD Félix-Guyon, Saint-Denis, La Réunion.
J Gynecol Obstet Biol Reprod (Paris). 1994;23(6):676-80.
Abdominal pregnancy occurs rarely and few observations of laparoscopic surgical treatment have been published. We observed 2 cases at 10 and 12 weeks of amenorrhoea. During one of the operations, it was particularly difficult to establish haemostasis, demonstrating the problems involved with laparoscopic surgery, highly dependent on gestational age and trophoblastic localization. Based on the epidemiological and diagnostic data we propose a therapeutic protocol for laparoscopic surgery in first-trimester abdominal pregnancies, taking into consideration the cases previously reported and current care for extrauterine pregnancy and late abdominal pregnancy.
腹腔妊娠极为罕见，关于腹腔镜手术治疗的观察报道甚少。我们观察到2例分别停经10周和12周的腹腔妊娠病例。其中1例手术过程中，止血特别困难，这显示了腹腔镜手术存在的问题，其高度依赖于孕周和滋养细胞定位。基于流行病学和诊断数据，我们参考既往报道的病例以及目前对宫外孕和晚期腹腔妊娠的治疗情况，提出了孕早期腹腔妊娠腹腔镜手术的治疗方案。
