甲氨蝶呤和氨甲环酸治疗宫颈异位妊娠一例报告。

A O Arowojolu, O O Ogunbode
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引用次数: 0

摘要

背景:宫颈妊娠是一种罕见的危及生命的异位妊娠,当它发生时,决定治疗方案是具有挑战性的。手术干预已被证明是复杂的顽固性出血和最经常需要子宫切除术。我们在此报告一个病例宫颈妊娠保守管理与医疗机构之前的手术干预。病例介绍和处理:一名29岁的孕妇,妊娠期糖尿病,妊娠10周时出现5天阴道有褐色分泌物,2天无痛性阴道出血。盆腔检查子宫颈不成比例地大于子宫,内腔闭合。经阴道和腹部超声检查证实宫颈妊娠。肌内注射甲氨蝶呤和氨甲环酸,然后进行吸出联合球囊填塞。术后6周复查子宫颈正常。结论:宫颈妊娠虽罕见,但仍有发生。手术干预通常导致子宫切除,采用药物管理作为一线治疗选择提供子宫保存的好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cervical ectopic pregnancy managed with methotrexate and tranexamic acid: A case report.

Background: Cervical pregnancy is a rare life-threatening form of ectopic pregnancy and when it occurs, it is challenging to decide the management options. Surgical intervention has been documented to be complicated by intractable haemorrhage and most often necessitating hysterectomy. We hereby report a case of cervical pregnancy managed conservatively with medical agents prior to surgical intervention. CASE PRESENTATION AND MANAGEMENT: A 29 year old primiparous woman with gestational diabetes mellitus who presented at 10 weeks gestation with 5 days history of brownish vaginal discharge and 2 days history of painless vaginal bleeding. On pelvic examination the cervix was disproportionately larger than the uterus with a closed internal os. Transvaginal and abdominal ultrasound scanning confirmed a live cervical pregnancy. She had intramuscular methotrexate and tranexamic acid followed by suction evacuation combined with balloon tamponade. Examination at 6 weeks post procedure revealed a normal cervix.

Conclusion: Cervical pregnancy still occurs in this environment despite its rarity. Surgical intervention usually results in hysterectomy and adopting medical management as a first line treatment option offers the benefit of uterine preservation.

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