间质妊娠:十年间手术治疗患者的回顾性病例系列。

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY Australian & New Zealand Journal of Obstetrics & Gynaecology Pub Date : 2024-06-14 DOI:10.1111/ajo.13850
Michelle Van, Maria-Elisabeth Smet, Sally Cash, Nargis Noori
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引用次数: 0

摘要

目的:描述我们的三级医院和相关外围医院十年间对间质异位妊娠患者的超声诊断特征和手术治疗程序:对新南威尔士州一家三级医院和一家相关外围医院十年间所有经手术治疗的间质部妊娠病例进行回顾性审计:结果:共发现16例经手术治疗的间质妊娠。其中43.8%的患者曾接受过同侧输卵管切除术。没有病例需要切除子宫、术后使用甲氨蝶呤或重返手术室。10 例患者在手术治疗前接受了超声诊断,其中 7 例当时被正确识别为间质异位妊娠。与楔形切除术相比,因间质妊娠而进行的粟粒状造口术的比例在本回顾期内有所上升,在两个五年期内从33%上升到60%:结论:我院将超声专家和先进的腹腔镜技术相结合,促进了间质妊娠的早期诊断和微创治疗的更广泛应用。
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Interstitial pregnancy: A retrospective case series of surgically managed patients over a ten-year period.

Aims: To describe the ultrasound diagnostic features and surgical management procedures for patients with an interstitial ectopic pregnancy in our tertiary institution and associated peripheral hospital over a ten-year period.

Methods: A retrospective audit of all surgically managed cases of interstitial pregnancies over a ten-year period at a tertiary hospital and one associated peripheral hospital in New South Wales.

Results: Sixteen cases of surgically managed interstitial pregnancy were identified. In 43.8% of these cases, patients had previously undergone an ipsilateral salpingectomy. No cases required hysterectomy, post-operative methotrexate or return to theatre. Ten patients underwent diagnostic ultrasound prior to operative management, seven of which were correctly identified to be an interstitial ectopic pregnancy at the time. The proportion of cornuostomies being performed for interstitial pregnancy compared to wedge resection has increased over the period of this review from 33 to 60% between the two five-year periods.

Conclusion: The combination of expert ultrasound and sophisticated laparoscopic techniques at our institution has facilitated earlier diagnosis and greater use of minimally invasive management of interstitial pregnancy.

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来源期刊
CiteScore
3.40
自引率
11.80%
发文量
165
审稿时长
4-8 weeks
期刊介绍: The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.
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