采用输卵管线性切开术治疗壶腹部输卵管葡萄胎。病例报告。
Ampullary tubal hydatidiform mole treated with linear salpingotomy. A case report.
作者信息
Newcomer J R
机构信息
Medical College of Wisconsin, Milwaukee 53226, USA.
出版信息
J Reprod Med. 1998 Oct;43(10):913-5.
BACKGROUND
While tubal pregnancies are common, only approximately 30 tubal hydatidiform moles have been reported. Most have been treated with salpingectomy. This case entails a tubal hydatidiform mole treated with salpingotomy without complications, persistence or recurrence.
CASE
A 25-year-old woman with an ampullary tubal pregnancy at 8 weeks' gestation underwent a laparoscopic salpingotomy. Preoperative human chorionic gonadotropin (hCG) was 6,909 mIU/mL. Pathology confirmed a partial hydatidiform mole. Three weeks postoperatively the hCG was 6 mIU/mL.
CONCLUSION
Tubal hydatidiform molar pregnancies are rare. Those which occur in the ampullary portion of the fallopian tube can be treated with linear salpingotomy.
背景
虽然输卵管妊娠很常见，但据报道只有约30例输卵管葡萄胎。大多数病例采用输卵管切除术治疗。本病例为一例接受输卵管切开术治疗的输卵管葡萄胎，无并发症、持续性或复发性。
病例
一名25岁妊娠8周的壶腹部输卵管妊娠妇女接受了腹腔镜输卵管切开术。术前人绒毛膜促性腺激素（hCG）为6,909 mIU/mL。病理证实为部分性葡萄胎。术后三周hCG为6 mIU/mL。
结论
输卵管葡萄胎妊娠很少见。发生在输卵管壶腹部的病例可采用线状输卵管切开术治疗。
Zotero 插件