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报道一例成功地将异位妊娠胚囊重新置入宫内后妊娠足月分娩的病例。一29岁非洲妇女,未生育,停经5周,无其他临床症状,曾因两次异位妊娠行右侧输卵管切除术及左侧输卵管造口术。经阴道超声检查提示子宫内呈明显蜕膜样反应,左侧异位妊娠,其异位妊娠胚囊伴有明显的胎心搏动。建议行将异位妊娠胚囊移植至宫内的重新安置术。剖腹探查证实左侧输卵管壶腹部未破裂异位妊娠。切开壶腹部,取出妊娠囊,并进行宫颈扩张,用小而锐的刮匙刮去宫腔四周的蜕膜条后,将妊娠囊送入宫底,术后2天进行超声检查,提示为单胎妊娠,其冠臀长度为4mm,并见胎心搏动。应用超声定期进行孕期检查,
Reported a case of successful implantation of embryo sac of ectopic pregnancy after uterine gestational term delivery. A 29-year-old African woman, without childbirth, menopause for 5 weeks, had no other clinical symptoms. She had a right salpingectomy and a left tubal ostomy for two ectopic pregnancies. Transvaginal ultrasound examination showed significant decidual-like reaction in the uterus, left ectopic pregnancy, its ectopic pregnancy embryo sac accompanied by significant fetal heart beat. It is recommended to transplant embryo sac of ectopic pregnancy intrauterine repositioning. Laparotomy confirmed that the left tubal ampulla did not rupture ectopic pregnancy. Open the ampulla, remove the gestational sac, and cervical dilatation, with a small and sharp curette scraping the decidua around the uterine cavity, the gestational sac into the palace of the bottom, 2 days after the ultrasound examination, suggesting that Single-pregnancy, the crown hip length of 4mm, and see fetal heart beat. Application of ultrasound during pregnancy check regularly,