经阴道超声引导下减胎术在输卵管间质部妊娠合并宫内孕中的应用——减胎成功2例报告  

Successful management of transvaginal reduction in heterotopic interstitial tubal pregnancy: two cases report and literature review

作　　者：刘文霞[1] 刘曼曼[1] 管一春[1] 王兴玲[1] 

机构地区：[1]郑州大学第三附属医院生殖中心,450000

出　　处：《中华生殖与避孕杂志》2017年第5期403-406,共4页Chinese Journal of Reproduction and Contraception

摘　　要：目的探讨孕早期采用经阴道超声引导下减胎术减灭宫外妊娠胚芽的临床治疗效果。方法通过阴道超声减胎抽吸宫外妊娠组织。结果对2例诊断为未破裂输卵管间质部的早期异位活胎妊娠,通过经阴道超声引导下减胎穿刺治疗,被保留的宫内胎儿持续妊娠至足月分娩。结论孕早期采用经阴道超声引导下减胎术选择性抽吸输卵管间质部胚芽,可获得理想的临床治疗效果。但是本方法仅去除胚芽组织,对残余的绒毛组织,需密切追踪随访。Objective To investigate the treatment of heterotopic pregnancy （HP） after in vitro fertilization and embryo transfer （IVF-ET）, and to explore the effect of clinical treatment of transvaginal ultrasound-guided embryo aspiration at the early stage of pregnancy.Methods Two successful cases of heterotopic interstitial tubal pregnancy treated with transvaginal ultrasound-guided ectopic embryo aspiration in early pregnancy and relevant literature review were discussed.Results After the treatment of transvaginal ultrasound-guided embryo aspiration in the early diagnosed interstitial tubal pregnancy with cardiac activity, the retained intrauterine fetal continues to be pregnant and a healthy baby will be delivered at term. Conclusion Transvaginal ultrasound-guided embryo aspiration can be considered to be a management of heterotopic interstitial tubal pregnancy in the first trimester. However, the follow-up is important because of the potential in the growth of retained villi tissue.

关 键 词：宫内外同时妊娠(HP) 输卵管间质部妊娠 经阴道超声减胎术 

分 类 号：R714.22[医药卫生—妇产科学]