子宫肌壁间妊娠:宫腔镜及腹腔镜成功诊治一例并文献复习  

Successful therapy for intramural pregnancy with combination of hysteroscopy and laparoscopy: a case report and literature review

作　　者：花茂方[1] 王媛 姚军 Hua Maofang;Wang Yuan;Yao Jun(Department of Gynaecology,Lianyungang Maternity and Child Health Care Hospital,Lianyungang 222006,China)

机构地区：[1]江苏省连云港市妇幼保健院妇科

出　　处：《中华腔镜外科杂志（电子版）》2019年第4期250-252,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨子宫肌壁间妊娠(intramural pregnancy,IMP)临床病理特征,诊断与鉴别诊断及治疗方案。方法回顾分析1例IMP患者的临床表现、辅助检查、临床治疗、活检及病理结果,对IMP进行相关讨论及文献复习。结果患者接受宫腹腔镜联合探查术,病灶成功切除并保留子宫。结论子宫肌层妊娠,因诊断困难,治疗上尚缺乏经验,但对于有人工流产史、子宫内膜异位症、胚胎移植史的高危人群,应该警惕此病。Objective To investigate the clinicopathological characteristics,diagnosis and differentiated diagnosis,and the regimens of intramural pregnancy(IMP).Methods A case of IMP was analyzed for the clinical manifestation,auxiliary assesses,clinical therapy,results of biopsy and pathology,with related literatures reviewed.Results The patient was diagnosed with IMP in uterine horn and underwent the hysteroscopy combined with laparoscopy,by which the lesion was successfully removed,with the uterine retained.Conclusions Due to the difficulty of intramural pregnancy diagnosis and lack of treatment experience,we should consider this disease when the patients had a history of induced abortion or endometriosis,as well as those who had a history of embryo transplantation.

关 键 词：肌壁间妊娠 异位妊娠 腹腔镜 宫腔镜 

分 类 号：R71[医药卫生—妇产科学]