Journal of minimally invasive gynecology · 2011
Treatment of cornual heterotopic pregnancy via selective reduction without feticide drug.
СтатьяНазвание и аннотация: Перевод в очереди
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Qiong Zhang, Yanping Li, Deep Jagat Prasad, Lin Zhu
Аннотация
STUDY OBJECTIVE: To treat heterotopic pregnancy with a minimally invasive procedure, absent a feticide drug.
DESIGN: Retrospective study (Canadian Classification III).
SETTING: University-affiliated hospital, center of reproductive medicine, department of obstetrics and gynecology, central south university, Changsha Hunan China.
PATIENTS: A total of nine patients' diagnosed cornual heterotopic pregnancy resulted from assisted reproduction technology. Among nine, five patients selected the cornual embryo reduction.
INTERVENTIONS: Cornual embryo reduction and preservation of intrauterine embryo were done under guidance of transvaginal ultrasonography at 4-6 weeks after embryo transfer. No drug was given.
MEASUREMENTS: Safety of operative procedure and pregnancy outcome.
MAIN RESULTS: All five patients who underwent selective embryo reduction has no intraoperative or postoperative complication, however 3 of them delivered healthy babies while two aborted.
CONCLUSION: An early intervention should be carried in vital stable patients by means of puncturing and aspirating cornual heterotopic pregnancy under transvaginal ultrasound guidance.
DESIGN: Retrospective study (Canadian Classification III).
SETTING: University-affiliated hospital, center of reproductive medicine, department of obstetrics and gynecology, central south university, Changsha Hunan China.
PATIENTS: A total of nine patients' diagnosed cornual heterotopic pregnancy resulted from assisted reproduction technology. Among nine, five patients selected the cornual embryo reduction.
INTERVENTIONS: Cornual embryo reduction and preservation of intrauterine embryo were done under guidance of transvaginal ultrasonography at 4-6 weeks after embryo transfer. No drug was given.
MEASUREMENTS: Safety of operative procedure and pregnancy outcome.
MAIN RESULTS: All five patients who underwent selective embryo reduction has no intraoperative or postoperative complication, however 3 of them delivered healthy babies while two aborted.
CONCLUSION: An early intervention should be carried in vital stable patients by means of puncturing and aspirating cornual heterotopic pregnancy under transvaginal ultrasound guidance.