宫角妊娠误诊后引产致子宫破裂1例报告(2)
术式多为宫角部分楔形切除术+患侧输卵管切除术,有生育要求但对侧输卵管患病者,可行输卵管宫角植入术,破口较大者行宫角修补术,如破口大,出血多,又无生育要求者可行次全或全子宫切除术,此例患者无生育要求,破口较大。但出血不多,故行了左侧宫角楔形切除、左附件切除及部分大网膜切除术。
参考文献
[1]Chopra S,Keepanasseril A,Rohilla M,et al.Obstetric morbidity and the diagnostic dilemma in pregnancy in rudimentary horn:retrospective analysis.Arch Gynecol Obstet,2009,280(6):907-910.
[2]MOAWAD NS,MAHAJAN ST,MONIZ MH,et al.Current diagnosis and treatment of interstitial pregnancy[J],Am Jobstet Gynecol,2010,202(1):15-29.
[3]SHEKHAR S,VERMA S,MOTEY R,et al.Hysterotomy for retained placenta with imminent uterine rupture in a preterm angular[J].Acta Obstet Gynecol Scand,2010,89(12):1615-1616.
[4]张力,刘月旺.腹腔镜在异位妊娠手术中的应用分析[J].中国医药,2011,6(7):845-847.
[5]朱莉华,曹云桂,吴智华.腹腔镜手术治疗宫角妊娠临床分析[J].中国妇产科临床杂志,2011,12(2):141-142.
[6]黄勤,方爱华,陈勤芳等.超声检查偏子宫角部妊娠的诊断价值[J].子宫临床医学,2010,17(3):414-416.
[7]韩肖燕,冯凤芝,万希润等.腹腔镜手术保守治疗宫角妊娠临床分析[J].生殖医学杂志,2009,18(1):13.
[8]毛春梅,汪玲.腹腔镜手术治疗宫角妊娠15例临床分析[J].中国初级卫生保健,2011,25(1):53-54., 百拇医药(李海燕)
参考文献
[1]Chopra S,Keepanasseril A,Rohilla M,et al.Obstetric morbidity and the diagnostic dilemma in pregnancy in rudimentary horn:retrospective analysis.Arch Gynecol Obstet,2009,280(6):907-910.
[2]MOAWAD NS,MAHAJAN ST,MONIZ MH,et al.Current diagnosis and treatment of interstitial pregnancy[J],Am Jobstet Gynecol,2010,202(1):15-29.
[3]SHEKHAR S,VERMA S,MOTEY R,et al.Hysterotomy for retained placenta with imminent uterine rupture in a preterm angular[J].Acta Obstet Gynecol Scand,2010,89(12):1615-1616.
[4]张力,刘月旺.腹腔镜在异位妊娠手术中的应用分析[J].中国医药,2011,6(7):845-847.
[5]朱莉华,曹云桂,吴智华.腹腔镜手术治疗宫角妊娠临床分析[J].中国妇产科临床杂志,2011,12(2):141-142.
[6]黄勤,方爱华,陈勤芳等.超声检查偏子宫角部妊娠的诊断价值[J].子宫临床医学,2010,17(3):414-416.
[7]韩肖燕,冯凤芝,万希润等.腹腔镜手术保守治疗宫角妊娠临床分析[J].生殖医学杂志,2009,18(1):13.
[8]毛春梅,汪玲.腹腔镜手术治疗宫角妊娠15例临床分析[J].中国初级卫生保健,2011,25(1):53-54., 百拇医药(李海燕)