电邮这篇文章 腹部妊娠伴第三孕期活产一例
- 作者: Mochalova M.N.1, Galeeva A.I.1,2, Akhmetova E.S.1, Kustova A.A.2, Nikolaeva E.Y.2, Khaven T.V.2
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隶属关系:
- Chita State Medical Academy
- Zabaikalsky Regional Perinatal Center
- 期: 卷 12, 编号 3 (2025)
- 页面: 370-376
- 栏目: Clinical case reports
- ##submission.dateSubmitted##: 27.01.2025
- ##submission.dateAccepted##: 05.07.2025
- ##submission.datePublished##: 17.08.2025
- URL: https://archivog.com/2313-8726/article/view/646559
- DOI: https://doi.org/10.17816/aog646559
- EDN: https://elibrary.ru/MJOLOA
- ID: 646559
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详细
腹部妊娠是一种罕见的异位妊娠类型，占所有妊娠的0.1%。由于诊断困难及缺乏统一的处理策略，该病症通常与不良结局相关。本文报道了一例腹部妊娠伴第三孕期活产的临床病例。患者自妊娠早期起即在产科门诊建档管理。按规定时间进行了产前筛查性超声检查，结果提示发育异常（双角子宫）以及前置胎盘表现。根据妊娠管理流程，从第33周起孕妇被转入三级产科住院观察。入院第7天，患者主诉上腹部阵发性钝痛并伴有恶心。经影像学与临床-实验室检查后，补充诊断为慢性胰腺炎不完全缓解期。随后患者被转入综合性地区临床医院。次日复查产科超声显示羊水指数降至0 mm。考虑到绝对性羊水过少、完全性前置胎盘及胎盘植入，遂紧急行剖宫产术。术中确诊为腹部妊娠。娩出一名活产早产女婴。
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作者简介
Marina N. Mochalova
Chita State Medical Academy
Email: marina.mochalova@gmail.com
ORCID iD: 0000-0002-5941-0181
SPIN 代码: 1068-3570
MD, Cand. Sci. (Medicine), Associate Professor
俄罗斯联邦, 39а Gorkogo st, Chita, 672000Anna I. Galeeva
Chita State Medical Academy; Zabaikalsky Regional Perinatal Center
编辑信件的主要联系方式.
Email: plotkina.ann@yandex.ru
ORCID iD: 0000-0001-8234-1797
SPIN 代码: 7315-6341
俄罗斯联邦, 39а Gorkogo st, Chita, 672000; Chita
Elena S. Akhmetova
Chita State Medical Academy
Email: akhmetlena@yandex.ru
ORCID iD: 0000-0002-6568-8905
SPIN 代码: 7543-2483
MD, Cand. Sci. (Medicine)
俄罗斯联邦, 39а Gorkogo st, Chita, 672000Anna A. Kustova
Zabaikalsky Regional Perinatal Center
Email: kustovaa@yandex.ru
ORCID iD: 0000-0002-1636-6440
俄罗斯联邦, Chita
Ekaterina Yu. Nikolaeva
Zabaikalsky Regional Perinatal Center
Email: nikola.ekaterina@yandex.ru
ORCID iD: 0009-0008-4428-980X
俄罗斯联邦, Chita
Tatyana V. Khaven
Zabaikalsky Regional Perinatal Center
Email: t_khaven@mail.ru
ORCID iD: 0009-0006-5335-7494
俄罗斯联邦, Chita
参考
- Chughtai F. Twin abdominal pregnancy — a rare scenario. J Pak Med Assoc. 2017;67(5):793–795.
- Rohilla M, Joshi B, Jain V, et al. Advanced abdominal pregnancy: a search for consensus. Review of literature along with case report. Arch Gynecol Obstet. 2018;298(1):1–8. doi: 10.1007/s00404-018-4743-3
- Demidov VN, Sarkisov SE, Demidov AV. Abdominal pregnancy: clinic, diagnosis, outcomes. Akusherstvo i Ginekologiya. 2014;(12):94–99. EDN: TESOWR
- Efremov PI, Efremov AP, Kryukov VA, et al. Delivery after advanced abdominal pregnancy. Akusherstvo i Ginekologiya. 2022;(7):142–148. doi: 10.18565/aig.2022.7.142-148 EDN: DXSVEG
- Antequera A, Babar Z, Balachandar C, et al. Managing ruptured splenic ectopic pregnancy without splenectomy: case report and literature review. Reprod Sci. 2021;28(8):2323–2330. doi: 10.1007/s43032-021-00476-8
- Utalo T, Getu J. A unique case of the coexistence of intrauterine and abdominal pregnancies, which resulted in a positive birth. BMC Pregnancy Childbirth. 2022;22(1):243. doi: 10.1186/s12884-022-04561-x
- Hailu FG, Yihunie GT, Essa AA, Tsega WK. Advanced abdominal pregnancy, with live fetus and severe preeclampsia, case report. BMC Pregnancy Childbirth. 2017;17(1):243. doi: 10.1186/s12884-017-1437-y
- Shishkina TYu, Aksenova VB. Ultrasound diagnosis of early abdominal pregnancy. Gynecology, Obstetrics and Perinatology. 2022;21(2):157–160. doi: 10.20953/1726-1678-2022-2-157-160 EDN: LLWTRY
- Davydov AI, Rubina EV, Pashkov VM, Shakhlamova MN. Rare types of ectopic pregnancy: methodology and long-term treatment results. Gynecology, Obstetrics and Perinatology. 2019;18(2):69–75. doi: 10.20953/1726-1678-2019-2-69-75 EDN: ZIJYGT
- Shan N, Dong D, Deng W, Fu Y. Unusual ectopic pregnancies: a retrospective analysis of 65 cases. J Obstet Gynaecol Res. 2014;40(1):147–154. doi: 10.1111/jog.12146
- Alexandrova EE, Ryzhova NK. The successful outcome of abdominal pregnancy (the ICD-code IS О83.3). Russian Journal of Human Reproduction. 2017;23(4):8–10. doi: 10.17116/repro20172348-10 EDN: ZGZDJB
- Tofelac PN, Abanda MN, Minkande JZ, Priso EB. The challenge in the diagnosis and management of an advanced abdominal pregnancy in a resource-low setting: a case report. J Med Case Rep. 2017;11(1):199. doi: 10.1186/s13256-017-1369-1
- Ivanova NA, Kormakova TL, Ukvalberg ME, et al. Full-term abdominal pregnancy. Akusherstvo i Ginekologiya. 2021;(5):180–184. doi: 10.18565/aig.2021.5.180-184 EDN: MMMBCU
- Buianova SN, Shchukina NA, Chechneva MA. Abdominal pregnancy. The Russian bulletin of the obstetrician gynecologist. 2014;14(5):71–74. EDN: TANOCL
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