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題 名 | Contralateral Tubal Pregnancy after Tubal Embryo Transfer:Report of Two Cases=輸卵管胚胎植入後之對側輸卵管妊娠:兩病例報告 |
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作 者 | 李糧全; 錢紫貴; 曾三立; 陳光煒; 連義隆; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 36:4 1997.12[民86.12] |
頁 次 | 頁153-156 |
分類號 | 417.42 |
關鍵詞 | 對側輸卵管妊娠; 輸卵管胚胎植入; 人工生殖科技; Contralateral tubal pregnancy; Tubal embryo transfer; Assisted reproductive technology; |
語 文 | 英文(English) |
中文摘要 | 背景:單側輸卵管胚胎植入後引起對側輸卵管妊娠的病例甚為罕見,我們報導兩 例此種疾病的病例。 個案報告:這兩個病例的子宮輸卵管攝影結果皆正常,然而第一例有子宮內膜炎的病史, 第二例無骨盆腔發炎或骨盆腔內手術病史。兩例皆在單側輸卵管胚胎植入後造成對側輸卵管 妊娠,因急性下腹疼痛而剖腹探查,並行單側輸卵管切除。 結論:由於接受人工生殖科技的病人有著較高的子宮外孕機率,所以我們建議密切追蹤 其人類絨毛性腺激素濃度並輔以陰道超音波檢查,以期早期發現異位妊娠,並予以適當的治 療。 |
英文摘要 | Background: Contralateral tubal pregnancy after unilateral tubal embryo transfer (TET) is rare. We present two cases both in which TET was performed into a unilateral tube, and a contralateral tubal pregnancy resulted. Case reports: The first patient had normal hysterosalpingography but she had a history of endometritis. The second patient also had normal hysterosalpingography and had no history of pelvic inflammation disease or pelvic surgery. Each underwent TET into a unilateral tube and was later proven to have an ectopic pregnancy in the contralateral tube. Unilateral salpingectomy was performed after emergent laparotomy in both patients. The postoperative course was smooth in both cases. Conclusion: Because of the high incidence of ectopic pregnancy after the use of assisted reproductive technology, serial follow-up of serum human chorionic gonadotropin and ultrasonography is essential for patients undergoing these types of procedures. |
本系統中英文摘要資訊取自各篇刊載內容。