Successful laparoscopic management of primary abdominal pregnancy.
Successful laparoscopic management of primary abdominal pregnancy.
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腹腔镜成功治疗原发性腹部妊娠。
DOI：
10.1093/oxfordjournals.humrep.a019157
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发表时间：
1996
影响因子：
6.1
通讯作者：
Y. Taketani
中科院分区：
文献类型：
--
作者：
Y. Morita;Osamu Tutsumi;K. Kuramochi;M. Momoeda;H. Yoshikawa;Y. Taketani
总的来说，大约1%的异位妊娠是腹部妊娠，即使进行剖腹手术干预也可能危及生命。我们提出一个案例，其中腹部妊娠成功地管理手术腹腔镜。一名25岁的日本女性在最后一次月经后6周出现基础体温升高、下腹痛和轻度阴道出血。尿人绒毛膜促性腺激素（HCG）浓度为2137 IU/I，腹腔镜检查结果（即着床部位为子宫后浆膜，附件正常）确定了原发性腹腔妊娠的诊断。通过腹腔镜手术完全去除妊娠产物，没有无法控制的失血。尿HCG浓度迅速下降，患者恢复顺利。腹腔镜手术是一种安全的选择适当的管理患者的早期腹腔妊娠。
Overall, approximately 1% of ectopic pregnancies are abdominal pregnancies, which can be life-threatening even when surgical intervention with laparotomy is performed. We present a case in which abdominal pregnancy was successfully managed by operative laparoscopy. A 25 year old Japanese woman presented 6 weeks after her last menstruation with elevated basal body temperature, lower abdominal pain, and light vaginal bleeding. The urinary human chorionic gonadotrophin (HCG) concentration was 2137 IU/I, and laparoscopic findings (i.e. the implantation site was the posterior serosa of the uterus with normal adnexae) established a diagnosis of primary abdominal pregnancy. The gestational product was completely removed by laparoscopic surgery with no uncontrollable loss of blood. The urinary concentration of HCG declined rapidly and the patient made an uneventful recovery. Operative laparoscopy is a safe alternative for the management of appropriately selected patients with early abdominal pregnancy.