Treatment of Cornual Heterotopic Pregnancy via Selective Reduction without Feticide Drug

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• 作者：Zhang Qiong ; MD ; ^{kindy97@126.com} ; Li Yanping ; MD ; Deep Jagat Prasad ; MBBS ^{jpdeep@hotmail.com} ; Zhu Lin ; MB
• 关键词：Assisted reproductive technology ; Cornual heterotopic pregnancy ; Selective embryo reduction
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2011
• 出版时间：November-December, 2011
• 年：2011
• 卷：18
• 期：6
• 页码：766-768
• 全文大小：263 K

文摘

Study Objective

To treat heterotopic pregnancy with a minimally invasive procedure, absent a feticide drug.

Design

Retrospective study (Canadian Classification III).

Setting

University-affiliated hospital, center of reproductive medicine, department of obstetrics and gynecology, central south university, Changsha Hunan China.

Patients

A total of nine patients¡¯ diagnosed cornual heterotopic pregnancy resulted from assisted reproduction technology. Among nine, five patients selected the cornual embryo reduction.

Interventions

Cornual embryo reduction and preservation of intrauterine embryo were done under guidance of transvaginal ultrasonography at 4-6 weeks after embryo transfer. No drug was given.

Measurements

Safety of operative procedure and pregnancy outcome.

Main Results

All five patients who underwent selective embryo reduction has no intraoperative or postoperative complication, however 3 of them delivered healthy babies while two aborted.

Conclusion

An early intervention should be carried in vital stable patients by means of puncturing and aspirating cornual heterotopic pregnancy under transvaginal ultrasound guidance.