经阴道局部注射高渗葡萄糖液治疗异位妊娠

作     者：Goldberg J.M. Bedaiwy M.A. 柳蕴 

作者机构：Department of Gynecology and Obstetrics Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland OH 44195 United States Dr. 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2006年第2卷第10期

页      面：61-61页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：异位妊娠 局部注射 高渗葡萄糖 宫内妊娠 输卵管妊娠 侧输卵管 人工受精 促排卵 针吸 局部注入 

摘      要：BACKGROUND: We report the technique and long-term outcome after a conservative approach for the treatment of heterotopic pregnancy. CASE: Two women aged 31 and 30 years presented with heterotopic pregnancies after controlled ovarian hyperstimulation intrauterine insemination. Transvaginal ultrasound-guided needle aspiration of the ectopic gestational sac and instillation of hyperosmolar glucose were performed. The ectopic pregnancies resolved without further intervention in both cases. The intrauterine pregnancies resulted in live births by cesarean delivery. Bilateral tubal patency was subsequently confirmed in both patients. CONCLUSION: Local injection of 50%glucose after aspiration of the tubal gestational sac fluid under transvaginal ultrasonographic guidance proved effective in resolving the ectopic pregnancy without adversely affecting the concurrent intrauterine pregnancy. This is a simple and inexpensive treatment modality.