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  • 期刊

輸卵管外的持續性子宮外孕

Persistent Extratubal Pregnancy

摘要


子宮外孕治療的方法多採用腹腔鏡手術,但腹腔鏡手術治療會增加持續性子宮外孕。少數情形,手術過程中會使滋養層組織在腹腔中擴散,發生輸卵管外的持續性子宮外孕,因此在手術後應追蹤血清絨毛膜促性腺激素(β-hCG)直至正常為止。輸卵管外的持續性子宮外孕雖少見,但會造成患者嚴重出血,危及性命,要小心謹慎,需以另一次手術或注射MTX來治療。

並列摘要


The use of conservative operation to treat ectopic pregnancies has been reported to increase the rate of incomplete trophblastic tissue removal and subsequent regrowth. Infrequently, surgical treatment of ectopic pregnancy, especially by the laparoscopic technique, may cause intraperitoneal spread and reimplantation of trophoblastic tissue. After operation for ectopic pregnancy, the need for post-operative surveillance of serum β-human chorionic gonadotropin (β-hCG) until undectable. Persistent extratubal ectopic pregnancy, thought rare, has a high mortality and morbidity. Early diagnosis and treatment can prevent intra-abdominal hemorrhage or hemorrhagic shock.

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