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Surgical Management of Ectopic Pregnancy

 

作者: TOGAS TULANDI,   AHMED SALEH,  

 

期刊: Clinical Obstetrics and Gynecology  (OVID Available online 1999)
卷期: Volume 42, issue 1  

页码: 31-38

 

ISSN:0009-9201

 

年代: 1999

 

出版商: OVID

 

数据来源: OVID

 

摘要:

The first successful surgical treatment of ectopic pregnancy (EP) was described in 1883 by Tait.1He performed salpingectomy on four women with ectopic pregnancy, and they all survived, an event that was extraordinary then. In 1973, Shapiro and Adler described treatment of ectopic pregnancy by laparoscopy, and today it is the standard surgical treatment of ectopic pregnancy. The key for a successful laparoscopic treatment of ectopic pregnancy is early diagnosis. This can be achieved by serial serum human chorionic gonadotropin (β-hCG) measurement and by transvaginal ultrasound examination. Once the diagnosis of ectopic pregnancy is made, the mode of treatment can be tailored accordingly.The sites of ectopic implantation can be divided into tubal and extratubal. Tubal pregnancy can be ampullary, isthmic, fimbrial, or interstitial. Extratubal ectopic pregnancies include abdominal, ovarian, and cervical pregnancy.

 



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