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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >A Case of Live Birth after Uterine Reconstruction for Recurrent Cornual Ectopic Pregnancy following IVF Treatment
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A Case of Live Birth after Uterine Reconstruction for Recurrent Cornual Ectopic Pregnancy following IVF Treatment

机译：体外受精治疗后子宫再造复发性角膜异位妊娠一例活产

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We present a case of recurrent ruptured right cornual ectopic pregnancies conceived after IVF. Following the second episode, a sonohysterography was undertaken to identify possible areas of scar weakness that may rupture with uterine distension in a future pregnancy. The scan revealed asymmetrical muscle thickness in the cornual regions, the right (6 mm) being thinner than the left (1.6 cm). Subsequently, an elective laparotomy was undertaken, and the cornua were reconstructed and thickened in several layers by bringing the laterally retracted myometrial fibres onto the reconstruction site. A sono-hysterography after surgery showed satisfactory (3-4 cm) myometrial thickness all around. A further cycle of IVF resulted in a singleton pregnancy. Pelvic scans confirmed normal intrauterine pregnancy without any myometrial thinning. She was delivered by an uneventful elective caesarean section at term. We propose that, in those who intend to have further pregnancies after a cornual ectopic pregnancy, a sono-hysterography is possibly the best investigative tool to assess myometrial integrity. This case demonstrates that in women with areas of muscle weakness it is possible to successfully perform an interval elective reconstructive surgery on the uterus that can result in an uneventful pregnancy and birth.
机译：我们介绍了一例IVF术后再次破裂的右角异位妊娠。在第二次发作之后，进行了宫腔造影，以发现可能在未来妊娠中因子宫扩张而破裂的疤痕无力区域。扫描发现角膜区域的肌肉厚度不对称，右侧（6（mm）比左侧（1.6 cm）薄。随后，进行了择期剖腹手术，通过将侧向缩回的子宫肌层纤维置于重建部位，重建并增厚了角膜。手术后的超声宫腔镜检查显示，子宫肌层厚度令人满意（3-4 cm）。进一步的试管受精导致单胎妊娠。骨盆扫描证实子宫内正常妊娠，子宫肌层无任何变薄。她在学期顺利进行了一次选择性剖腹产。我们建议，对于那些打算在角膜异位妊娠后再怀孕的人，超声宫腔造影可能是评估子宫肌层完整性的最佳研究工具。该案例表明，在肌肉无力的女性中，可以成功地对子宫进行间歇性选择性重建手术，这可能导致妊娠和分娩的顺利进行。

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