Kligman I, Adachi T J, Katz E, McClamrock H D, Jockle G A, Barakat B
Department of Obstetrics and Gynecology, University of Maryland Medical System, Baltimore, USA.
J Reprod Med. 1995 Oct;40(10):743-6.
Cervical pregnancy can be a life-threatening entity, with the diagnosis often made on the hysterectomy specimen. A case of distal ectopic pregnancy involved the endocervical canal, and prompt diagnosis and treatment allowed the preservation of fertility.
The patient presented at six weeks' gestation with vaginal bleeding. Serial ultrasound examinations revealed a viable pregnancy and ultimately suggested placental implantation within the endocervical canal. Curettage was performed using cervical stay sutures at the three and nine o'clock positions, with minimal bleeding and no postoperative morbidity. One year after the procedure the patient had a spontaneous delivery of a full-term male following an unremarkable prenatal course.
Improvements in sonography and serum testing have allowed earlier diagnosis and hence greater success with conservative management of cervical pregnancy.
宫颈妊娠可能是一种危及生命的情况，诊断通常在子宫切除标本上做出。1例远端异位妊娠累及宫颈管，及时诊断和治疗得以保留生育能力。
该患者孕6周时出现阴道出血。系列超声检查显示为活胎妊娠，最终提示胎盘植入宫颈管内。在宫颈三点和九点位置使用宫颈支撑缝线进行刮宫，出血极少，术后无并发症。术后1年，患者在产前过程顺利的情况下自然分娩一名足月男婴。
超声检查和血清检测的改进使得宫颈妊娠能够更早诊断，从而在保守治疗中取得更大成功。
