Conservative Laparoscopic Surgery for Intramural Ectopic Pregnancy: A Summary of Twelve Case Reports

作者全名："Xie, Haixia; Liu, Bao; Huang, Jianrong"

作者地址："[Xie, Haixia; Liu, Bao; Huang, Jianrong] Chongqing Med Univ, Women & Childrens Hosp, Dept Obstet & Gynecol, Chongqing 401147, Peoples R China"

通信作者："Liu, B (通讯作者)，Chongqing Med Univ, Women & Childrens Hosp, Dept Obstet & Gynecol, Chongqing 401147, Peoples R China."

来源：CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001010613500016

JCR分区：Q4

影响因子：0.2

年份：2023

卷号：50

期号：5

开始页：　

结束页：　

文献类型：Article

关键词：intramural ectopic pregnancy; laparoscopy; hysteroscopy

摘要："Background: Intramural pregnancy (IMP) is a special type of ectopic pregnancy. The cause of the disorder nor a uniform effective treatment plan, either pharmacological or surgical treatment, has been reported. Pharmacological treatments have been associated with poor clinical outcomes and a higher risk of bleeding during treatment. Laparoscopic surgery for intramural pregnancy has been reported and timely diagnosis and early treatment by laparoscopy can reduce the adverse impact on female fertility. However, the safety and efficacy of laparoscopic treatment of intramural pregnancy has not been adequately evaluated. Methods: To evaluate the effectiveness of laparoscopic therapy of intramural pregnancy, we retrospectively selected clinical data from 12 patients with IMP treated by laparoscopy in our gynecology department (From January 2010 to December 2021). We collected clinical data from medical records, including: maternal age, gestational sac location, duration of amenorrhea, clinical symptoms, previous surgical history, pregnancy history, serum beta-HCG (human chorionic gonadotropin) level, intraoperative bleeding and time of postoperative hospital stay. Results: All patients with intramural pregnancy who underwent laparoscopic surgery had their uterus preserved. Serum beta-hCG decreased significantly after the operation and the average intraoperative blood loss was (50.9 +/- 5.5) mL. The average length of stay was (5.4 +/- 0.6) days resulting in an average hospital cost of 10,487 +/- 548 RMB. Conclusions: Laparoscopic surgery is an effective and beneficial method for treating early intramural pregnancy preserving women's uterus and protecting her future fertility."

基金机构：Women and Children's Hospital of Chongqing Medical University [2020YJMS10]; Chongqing Science and Technology Commission [CSTB2022NSCQ-MSX0907]

基金资助正文："This research was funded by Women and Children's Hospital of Chongqing Medical University, grant number 2020YJMS10. This research was funded by Chongqing Science and Technology Commission, grant number CSTB2022NSCQ-MSX0907."