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腹腔镜治疗间质部妊娠。

Laparoscopic treatment of an interstitial pregnancy.

作者信息

Laury D

机构信息

Providence Medical Center, Medford, Oregon, USA.

出版信息

J Am Assoc Gynecol Laparosc. 1995 Feb;2(2):219-21. doi: 10.1016/s1074-3804(05)80022-2.

DOI:10.1016/s1074-3804(05)80022-2
PMID:9050562
Abstract

Interstitial (cornual) pregnancies occur rarely, estimated at 1 for every 2500 to 5000 live births. Since the morbidity and mortality are high, the correct diagnosis must be made and treatment begun promptly. A number of management options have been described, including conservative treatments such as expectant management, methotrexate injections (local or systemic), potassium chloride injections (local), and prostaglandin administration. Among conservative surgical treatments, hysteroscopy has been performed successfully to diagnose and treat the condition. To my knowledge, this is the first report of laparoscopic treatment of interstitial pregnancy.

摘要

间质部(宫角部)妊娠极为罕见,据估计每2500至5000例活产中会出现1例。由于其发病率和死亡率较高,必须做出正确诊断并及时开始治疗。已描述了多种治疗方案,包括保守治疗,如期待疗法、甲氨蝶呤注射(局部或全身)、氯化钾注射(局部)以及前列腺素给药。在保守性手术治疗中,宫腔镜检查已成功用于诊断和治疗该疾病。据我所知,这是腹腔镜治疗间质部妊娠的首例报告。

相似文献

1
Laparoscopic treatment of an interstitial pregnancy.腹腔镜治疗间质部妊娠。
J Am Assoc Gynecol Laparosc. 1995 Feb;2(2):219-21. doi: 10.1016/s1074-3804(05)80022-2.
2
Local treatment of ectopic pregnancy.异位妊娠的局部治疗。
Semin Reprod Med. 2007 Mar;25(2):99-115. doi: 10.1055/s-2007-970049.
3
Laparoscopic management of an intramural pregnancy.腹腔镜治疗子宫肌壁间妊娠
J Am Assoc Gynecol Laparosc. 1995 Aug;2(4):467-70. doi: 10.1016/s1074-3804(05)80072-6.
4
[Conservative treatment of ectopic pregnancy with methotrexate].
Akush Ginekol (Sofiia). 2002;41(6):53-6.
5
Interstitial pregnancy and transcervical curettage.
Obstet Gynecol. 2004 Nov;104(5 Pt 2):1193-5. doi: 10.1097/01.AOG.0000132807.44055.f5.
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Minimally invasive treatment of live ectopic pregnancy.活体异位妊娠的微创治疗。
Clin Exp Obstet Gynecol. 1997;24(2):92.
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Combined hysteroscopy and laparoscopy in the treatment of interstitial pregnancy.宫腔镜与腹腔镜联合治疗间质部妊娠
Am J Obstet Gynecol. 2003 Apr;188(4):1113-4. doi: 10.1067/mob.2003.258.
8
[Conservative treatment of interstitial ectopic pregnancy and endometriosis with laparoscopic methotrexate and potassium chloride and complementary management with nasal nafarelin. Report of a case and review of the literature].[腹腔镜下甲氨蝶呤和氯化钾保守治疗间质部异位妊娠及子宫内膜异位症并辅以鼻用那法瑞林治疗:1例报告及文献复习]
Ginecol Obstet Mex. 2000 Jan;68:35-8.
9
Diagnosis and laparoscopic management of 11 consecutive cases of cornual ectopic pregnancy.11例宫角部异位妊娠的诊断与腹腔镜治疗
Arch Gynecol Obstet. 2009 Jul;280(1):59-64. doi: 10.1007/s00404-008-0872-4. Epub 2008 Dec 16.
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Considerations for management of interstitial ectopic pregnancies: two case reports.间质部异位妊娠的管理考量:两例病例报告
J Med Case Rep. 2016 Apr 27;10(1):106. doi: 10.1186/s13256-016-0892-9.

引用本文的文献

1
Mini-cornual excision: a simple stepwise laparoscopic technique for the treatment of cornual pregnancy.微型宫角切除术:一种用于治疗宫角妊娠的简单分步腹腔镜技术。
JSLS. 2009 Jan-Mar;13(1):87-91.