Arbab F, Boulieu D, Bied V, Payan F, Lornage J, Guérin J F
Service de Gynécologie, Pavillon L, Hôpital E Herriot, 69437 Lyon, France.
Hum Reprod. 1996 May;11(5):1120-2. doi: 10.1093/oxfordjournals.humrep.a019308.
We report five cases of early rupture of cornual pregnancy with history of previous salpingectomy and cornual resection following in-vitro fertilization (IVF) and embryo transfer. We discuss the predisposing factors, diagnostic and therapeutic modalities in these patients. A high index of suspicion is required for an early diagnosis. It is imperative that the physicians who care for the patients be fully aware of the possibility of such a complication in a high risk population; therefore, appropriate counselling and close follow-up might help to avoid such obstetrical catastrophes, by termination of pregnancy, either surgically or medically.
我们报告了5例输卵管间质部妊娠早期破裂的病例，这些患者既往有输卵管切除术及输卵管间质部切除术史，均接受过体外受精（IVF）和胚胎移植。我们讨论了这些患者的诱发因素、诊断及治疗方式。早期诊断需要高度的怀疑指数。照顾这些患者的医生必须充分意识到高危人群中发生这种并发症的可能性；因此，通过手术或药物终止妊娠，进行适当的咨询和密切随访可能有助于避免此类产科灾难。
