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Revisiting cervical ectopic pregnancy

机译：重温宫颈异位妊娠

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The diagnosis and treatment of non-tubal or unusual pregnancy implantation presents diagnostic and therapeutic dilemmas. Cervical pregnancies (CPs) are especially dangerous due to associated life-threatening haemorrhage and associated massive blood transfusions and emergency hysterectomy. Haemostasis is the main aim of the therapy to prevent hysterectomy. Overall conservative management of an asymptomatic CP using systemic or local medical treatment seems superior to the surgical intervention. Exclusive operative methods tend to lead to a high failure rate due to severe haemorrhage. The optimum therapeutic option for symptomatic CP is still unclear. We report a case of delayed diagnosis of advanced CP, where a combination of medical, surgical and mechanical treatment was adopted and hysterectomy was avoided thereby preserving fertility. This article presents updates on the aetiology, diagnosis and management of patients with cervical ectopic pregnancy.
机译：非输卵管或异常妊娠植入的诊断和治疗存在诊断和治疗难题。由于相关的威胁生命的出血，相关的大量输血和紧急子宫切除术，宫颈妊娠（CPs）特别危险。止血是预防子宫切除术的主要目的。使用系统或局部药物治疗对无症状CP进行总体保守治疗似乎优于手术干预。独家手术方法往往会因严重出血而导致较高的失败率。对症性CP的最佳治疗选择尚不清楚。我们报告一例晚期CP的延迟诊断病例，其中采用了医学，外科和机械治疗相结合的方法，避免了子宫切除术，从而保持了生育能力。本文介绍了宫颈异位妊娠患者的病因，诊断和治疗方面的最新信息。

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