Clinical analysis of 9 cases of intermural pregnancy and literature review
- VernacularTitle:子宫肌壁间妊娠9例临床分析并文献复习
- Author:
Qinghua QU
1
;
Yi LIN
1
;
Li LEI
1
;
Wenjie SUN
1
;
Xiaoyin HU
1
;
Dongmei XU
1
;
Yingzheng PAN
1
;
Xia YANG
1
;
Yan SHI
1
;
Lijuan HAO
1
Author Information
- Publication Type:Journal Article
- Keywords: Intramural pregnancy; Hysteroscopy; Laparoscopy; Embryo transfer
- From: Chinese Journal of Reproduction and Contraception 2020;40(9):761-766
- CountryChina
- Language:Chinese
- Abstract: Objective:To analyze the high risk factors of intramural ectopic pregnancy, and to improve the clinical diagnosis and treatment of intramural ectopic pregnancy.Methods:From January 2015 to July 2019, the clinical data of 9 patients with intramural pregnancy in Chongqing Maternal and Child Health Hospital were retrospectively analyzed. The high risk factors, clinical manifestations, treatment outcomes of intramural pregnancy were summarized.Results:Nine patients with intramural pregnancy, 6 cases had previous history of abortion, uterine or abdominal cavity surgery. Five cases had history of embryo transfer. The uterine integrity was preserved in 9 patients after treatment with medication, hysteroscopy, laparoscopy or transabdominal intramural pregnancy clearance. Pregnancy continued after laparoscopic treatment in a patient with early pregnancy complicated with intramural pregnancy.Conclusion:Patients with high risk factors should be treated at the early stage of pregnancy. Hysteroscopy combined with laparoscopic exploration is an effective method for the treatment of intramural pregnancy, which can make a quick and definite diagnosis and perform minimally invasive surgery, and preserve uterine integrity and fertility.
