高强度聚焦超声联合清宫术治疗宫颈妊娠一例

doi:10.12280/gjfckx.20201175

国际妇产科学杂志 ›› 2021, Vol. 48 ›› Issue (5): 525-527.doi: 10.12280/gjfckx.20201175

• 产科生理及产科疾病:病例报告 • 上一篇下一篇

高强度聚焦超声联合清宫术治疗宫颈妊娠一例

张晓荣^#, 马艳伟^#, 董渠龙(), 侯海燕, 杨振华

300162 天津,中国人民武装警察部队特色医学中心妇产科（张晓荣,董渠龙,杨振华）,体检中心（马艳伟）,生殖医学科（侯海燕）

收稿日期:2020-12-11 出版日期:2021-10-15 发布日期:2021-10-27
通讯作者: 董渠龙 E-mail:349271976@qq.com

A Case Report on Treatment of Cervical Ectopic Pregnancy Using High Intensity Focused Ultrasound Combined with Curettage

ZHANG Xiao-rong^#, MA Yan-wei^#, DONG Qu-long(), HOU Hai-yan, YANG Zhen-hua

Department of Obstetrics and Gynecology (ZHANG Xiao-rong, DONG Qu-long, YANG Zhen-hua), Department of Physical Health Center (MA Yan-wei), Department of Reproductive Medicine (HOU Hai-yan), The Characteristic Medicine Center of The Chinese People′s Armed Police Forces, Tianjin 300162, China

Received:2020-12-11 Published:2021-10-15 Online:2021-10-27
Contact: DONG Qu-long E-mail:349271976@qq.com

摘要/Abstract

摘要：

宫颈妊娠是临床罕见的一种异位妊娠,由于胚胎种植于宫颈管黏膜内,可能造成大出血等不良结局,严重时需切除子宫,甚至危及患者生命。该疾病尚无特定治疗方法,需行个体化治疗。目前采用高强度聚焦超声治疗宫颈妊娠的报道极少,现回顾中国人民武装警察部队特色医学中心妇产科2020年收治的1例高强度聚焦超声联合清宫术成功治疗宫颈妊娠的病例,希望通过分享治疗经验引起妇产科医师的注意,为宫颈妊娠患者谋求更安全、有效、经济的治疗方案。

关键词: 高强聚焦超声消融, 刮宫术, 妊娠,异位, 病例报告, 宫颈妊娠

Abstract:

As one of ectopic pregnancies, cervical ectopic pregnancy, which is rare in clinic, may cause severe bleeding and other adverse outcomes because the embryo is implanted in the cervical mucosa. In some severe cases, hysterectomy is necessary and it would be even life-threatening while there is no specific method to treat the disease and individualized treatment is needed. At present, there are few reports on the treatment of cervical ectopic pregnancy by high intensity focused ultrasound. Now, a female diagnosed with cervical ectopic pregnancy who was hospitalized in the Department of Obstetrics and Gynecology, The Characteristic Medicine Center of The Chinese People′s Armed Police Forces in 2020 cured by high intensity focused ultrasound combined with curettage is reviewed. We hope to share the treatment experience in order to attract the attention of obstetricians and gynecologists, and strive for more effective, safer and more economic treatment for cervical ectopic pregnancy patients.

Key words: High-intensity focused ultrasound, Dilatation and curettage, Pregnancy,ectopic, Case reports, Cervical ectopic pregnancy

张晓荣, 马艳伟, 董渠龙, 侯海燕, 杨振华. 高强度聚焦超声联合清宫术治疗宫颈妊娠一例[J]. 国际妇产科学杂志, 2021, 48(5): 525-527.

ZHANG Xiao-rong, MA Yan-wei, DONG Qu-long, HOU Hai-yan, YANG Zhen-hua. A Case Report on Treatment of Cervical Ectopic Pregnancy Using High Intensity Focused Ultrasound Combined with Curettage[J]. Journal of International Obstetrics and Gynecology, 2021, 48(5): 525-527.

图/表 2

参考文献 14

[1]	Raba G, Baran P, Szczupak K. Combined treatment of cervical pregnancy with methotrexate and prostaglandins[J]. J Obstet Gynaecol India, 2015,65(2):122-124. doi: 10.1007/s13224-014-0555-y. doi: 10.1007/s13224-014-0555-y
[2]	Ozcivit IB, Cepni I, Hamzaoglu K, et al. Conservative management of 11 weeks old cervical ectopic pregnancy with transvaginal ultrasound-guided combined methotrexate injection: Case Report and Literature Review[J]. Int J Surg Case Rep, 2020,67:215-218. doi: 10.1016/j.ijscr.2020.01.020. doi: 10.1016/j.ijscr.2020.01.020
[3]	Ahmadi F, Irani S. Cervical Ectopic Pregnancy following Assisted Reproductive Technology: A Case Report[J]. Int J Fertil Steril, 2012,6(3):201-204.
[4]	Murji A, Garbedian K, Thomas J, et al. Conservative Management of Cervical Ectopic Pregnancy[J]. J Obstet Gynaecol Can, 2015,37(11):1016-1020. doi: 10.1016/s1701-2163(16)30051-2. doi: 10.1016/s1701-2163(16)30051-2 pmid: 26629722
[5]	Masselli G, Derme M, Piccioni MG, et al. To evaluate the feasibility of magnetic resonance imaging in predicting unusual site ectopic pregnancy: a retrospective cohort study[J]. Eur Radiol, 2018,28(6):2444-2454. doi: 10.1007/s00330-017-5237-6. doi: 10.1007/s00330-017-5237-6
[6]	Stabile G, Mangino FP, Romano F, et al. Ectopic Cervical Pregnancy: Treatment Route[J]. Medicina(Kaunas), 2020,56(6):293. doi: 10.3390/medicina56060293. doi: 10.3390/medicina56060293
[7]	连成瑛, 陈秀娟, 黄小琛, 等. 宫颈妊娠的诊断与治疗[J]. 中国妇幼保健, 2018,33(22):5070-5073. doi: 10.7620/zgfybj.j.issn.1001-4411.2018.22.08. doi: 10.7620/zgfybj.j.issn.1001-4411.2018.22.08
[8]	Elhelf I, Albahar H, Shah U, et al. High intensity focused ultrasound: The fundamentals, clinical applications and research trends[J]. Diagn Interv Imaging, 2018,99(6):349-359. doi: 10.1016/j.diii.2018.03.001. doi: 10.1016/j.diii.2018.03.001
[9]	Cheung V. High-intensity focused ultrasound therapy[J]. Best Pract Res Clin Obstet Gynaecol, 2018,46:74-83. doi: 10.1016/j.bpobgyn.2017.09.002. doi: 10.1016/j.bpobgyn.2017.09.002
[10]	Marques A, Andres MP, Kho RM, et al. Is High-intensity Focused Ultrasound Effective for the Treatment of Adenomyosis? A Systematic Review and Meta-analysis[J]. J Minim Invasive Gynecol, 2020,27(2):332-343. doi: 10.1016/j.jmig.2019.07.029. doi: 10.1016/j.jmig.2019.07.029
[11]	Lee JS, Hong GY, Park BJ, et al. High-intensity focused ultrasound combined with hysteroscopic resection to treat retained placenta accreta[J]. Obstet Gynecol Sci, 2016,59(5):421-425. doi: 10.5468/ogs.2016.59.5.421. doi: 10.5468/ogs.2016.59.5.421
[12]	王玉楣, 李双弟, 王蓓颖, 等. 高强度聚焦超声消融治疗子宫肌瘤时妊娠一例报告并文献复习[J]. 国际生殖健康/计划生育杂志, 2020,39(3):256-259. doi: 10.3969/j.issn.1674-1889.2020.03.019. doi: 10.3969/j.issn.1674-1889.2020.03.019
[13]	徐锋, 镡丽霞, 李盼, 等. 高强度聚焦超声消融联合GnRHa治疗子宫腺肌病的临床研究[J]. 国际妇产科学杂志, 2019,46(6):618-620,640. doi: 10.3969/j.issn.1674-1870.2019.06.004. doi: 10.3969/j.issn.1674-1870.2019.06.004
[14]	Jiang J, Xue M. The treatment of cervical pregnancy with high-intensity focused ultrasound followed by suction curettage: report of three cases[J]. Int J Hyperthermia, 2019,36(1):273-276. doi: 10.1080/02656736.2018.1563914. doi: 10.1080/02656736.2018.1563914

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高强度聚焦超声联合清宫术治疗宫颈妊娠一例

A Case Report on Treatment of Cervical Ectopic Pregnancy Using High Intensity Focused Ultrasound Combined with Curettage

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