Chinese Medical Sciences Journal ›› 2021, Vol. 36 ›› Issue (2): 161-170.doi: 10.24920/003793

• 病例报告 • 上一篇    

成功诊治宫内合并宫角妊娠1例及文献复习

陈丽,孙文洁(),郝丽娟,林奕   

  1. 重庆市妇幼保健院妇科内分泌科,重庆 401147
  • 收稿日期:2020-09-13 出版日期:2021-06-30 发布日期:2021-07-07
  • 通讯作者: 孙文洁 E-mail:837689606@qq.com

Successfully Managing Cornual Heterotopic Pregnancy:A Case Report and Literature Review

Li Chen,Wenjie Sun(),Lijuan Hao,Yi Lin   

  1. Department of Gynecology Endocrinology, Chongqing Health Center for Women and Children, Chongqing 401147, China
  • Received:2020-09-13 Published:2021-06-30 Online:2021-07-07
  • Contact: Wenjie Sun E-mail:837689606@qq.com

摘要:

宫内合并宫角妊娠是一种罕见的严重妊娠并发症。本文报告一例33岁妇女,在体外受精-胚胎移植后发生宫内合并宫角妊娠。为了防止宫角妊娠破裂,宫角妊娠物在妊娠7+2周时经腹腔镜手术被清除。在妊娠38+3周时,此孕妇顺利分娩一名健康男婴。此外,我们还回顾MEDLINE(PubMed)数据库收录的所有关于CHP的病例报告、病例系列和队列研究,分析了CHP的临床表现、危险因素、治疗方法及妊娠结局。

关键词: 宫内合并宫角妊娠, 阴道超声, 腹腔镜, 辅助生殖技术

Abstract:

Cornual heterotopic pregnancy is an extremely rare, life-threatening complication during pregnancy. Here, we report a 33-year-old woman who suffered cornual heterotopic pregnancy afterin vitro fertilization embryo transfer. To prevent rupture during heterotopic pregnancy, she received laparoscopic surgery to remove the ectopic gestational sac at 7+2weeks of gestation. Ultimately, she delivered a healthy boy at 38+3 weeks of gestation. Here, we also review the clinical presentations, risk factors, treatment options and outcomes of cornual heterotopic pregnancy.

Key words: cornual heterotopic pregnancy, transvaginal ultrasonography, laparoscopy, reproduction technique

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