首页> 外文期刊>The journal of obstetrics and gynaecology research >Successful management of cervico-isthmic pregnancy delivered at term.
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Successful management of cervico-isthmic pregnancy delivered at term.

机译:足月可成功处理宫颈峡部妊娠。

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A 29-year-old woman was diagnosed with a cervico-isthmic pregnancy based on ultrasound findings at 8 weeks of gestation. At 30 weeks of gestation, placenta previa was confirmed. During cesarean section at 37 weeks, the placenta did not spontaneously detach from the uterus; therefore, we decided to leave it in the uterus to avoid major hemorrhage. Blood loss was 775?mL and a healthy infant was delivered. After the operation, weekly methotrexate injection was initiated. Shortly after the eighth course of injection, massive vaginal bleeding suddenly occurred and bilateral uterine artery embolization was performed to control it. After the procedure, the retained placental tissue was removed and the patient was discharged with good general condition. Although a cervico-isthmic pregnancy constitutes a high-risk pregnancy, fertility-sparing management without a hysterectomy or blood transfusion was possible by not removing the placenta manually during the operation.
机译:根据妊娠8周时的超声检查结果,一名29岁妇女被诊断为宫颈峡部妊娠。妊娠30周时,确认前置胎盘。在37周的剖宫产过程中,胎盘没有自发脱离子宫。因此,我们决定将其留在子宫内以避免大出血。失血量为775?mL,并有一名健康的婴儿被分娩。手术后,开始每周一次甲氨蝶呤注射。第八次注射后不久,突然发生大量阴道流血,并进行了双侧子宫动脉栓塞术来控制。手术后,除去残留的胎盘组织,患者一般情况良好。尽管宫颈峡部妊娠是高危妊娠,但通过在手术过程中不手动移出胎盘,无需子宫切除术或输血就可以节省生育。

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