Louis-Sylvestre C, Morice P, Chapron C, Dubuisson J B
Service de Chirurgie Gynécologique, Clinique Universitaire Baudelocque, CHU Cochin Port-Royal, Paris, France.
Hum Reprod. 1997 May;12(5):1100-2. doi: 10.1093/humrep/12.5.1100.
The object of this report is to discuss diagnosis and treatment of heterotopic pregnancies. Thirteen consecutive cases referred to our institution are reviewed. In 54% of cases the heterotopic pregnancy was asymptomatic. The ectopic pregnancy was visualized prior to surgery in 69% of the cases. The treatment was surgical in every case and performed laparoscopically in 77% of cases. Ten patients underwent salpingectomy and three salpingostomy. In all, 60% of intrauterine pregnancies that were viable at the time of diagnosis of the heterotopic pregnancy had a favourable outcome. Diagnosis of heterotopic pregnancy is difficult. Laparoscopy allows both diagnosis and treatment, and the outcome of the intrauterine pregnancy is comparable to that obtained with laparotomy.
本报告旨在探讨异位妊娠的诊断与治疗。回顾了我院连续收治的13例病例。54%的病例中异位妊娠无症状。69%的病例在手术前可看到异位妊娠。所有病例均采用手术治疗，77%的病例采用腹腔镜手术。10例患者行输卵管切除术，3例患者行输卵管造口术。总体而言，在诊断异位妊娠时存活的宫内妊娠中有60%预后良好。异位妊娠的诊断较为困难。腹腔镜检查可同时进行诊断和治疗，且宫内妊娠的结局与开腹手术相当。
Zotero 插件