使用铜T型宫内节育器的患者行腹腔镜下卵巢妊娠切除术。
Laparoscopic resection of an ovarian pregnancy in a patient using the copper T intrauterine device.
作者信息
Ferro P L, Badawy S Z, Berry C J, Rooney M
机构信息
Department of Obstetrics and Gynecology SUNY, Health Science Center, Syracuse, NY 13210, USA.
出版信息
J Am Assoc Gynecol Laparosc. 1996 Feb;3(2):329-32. doi: 10.1016/s1074-3804(96)80025-9.
This is a case report of a 40-year-old multiparous woman with a right ovarian pregnancy. The patient has had a copper T intrauterine device for about 6 years. The diagnosis of ovarian pregnancy was based on the improper rise of serum beta-hCG levels, sonographic findings of an empty uterus, and the laparoscopic verification of Spiegelberg's criteria. The treatment was by laparoscopic resection of part of the right ovary with the pregnancy. Pathological examination confirmed the presence of ovarian tissue around the chorionic villi. The relationship between the use of the intrauterine device and ovarian pregnancy is discussed.
这是一例40岁经产妇发生右卵巢妊娠的病例报告。该患者放置铜T形宫内节育器约6年。卵巢妊娠的诊断依据为血清β-人绒毛膜促性腺激素（β-hCG）水平上升异常、超声检查发现子宫内空虚以及腹腔镜检查符合斯皮格尔伯格标准。治疗方法是通过腹腔镜切除部分含妊娠物的右卵巢。病理检查证实绒毛膜绒毛周围存在卵巢组织。本文讨论了宫内节育器的使用与卵巢妊娠之间的关系。
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