자궁각임신을 동반한 병합임신에서 염화칼륨을 이용한 선택적 태아 감축술 후 만삭분만한 1예
A CASE OF FULL TERM DELIVERY AFTER SELECTIVE FETOCIDE WITH POTASSIUM CHLORIDE IN HETEROTOPIC CORNUAL PREGNANCY
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참고문헌
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초록
병합임신은 자궁강내와 자궁외의 위치에 동시에 착상되는 것으로 정의된다. 과거 골반염이나 골반수술 또는 기형자궁이 위험요소이다. 병합임신은 자연임신의 경우 1/30,000으로 발생률은 매우 낮으나 보조생식술을 시행한 경우는 발생 빈도가 증가한다. 자궁강내와 자궁외임신이 병합된 경우 진단은 매우 어려울 수 있으며 치료 또한 여전히 논쟁의 여지가 있다. 본 저자는 보조생식술 후 자궁각임신이 동반된 병합임신에서 자궁내 태아의 안녕을 유지하면서 자궁외임신낭에 염화칼륨을 이용한 초음파 유도하 질식 선택적 감압술로 치료한 예를경험하였기에 이를 증례 보고하고자 한다.
Abstract
Heterotopic pregnancy is the simultaneous occurrence of intrauterine and ectopic gestations. Possible risk factors include past pelvic inflammatory disease, previous pelvic surgery, or uterine anomalies. Its incidence is very rare, 1 in 30,000 in natural pregnancies but it has been increased in frequency by the advent of assisted reproductive technology. In cases of heterotopic pregnancy with intrauterine pregnancy and ectopic pregnancy, the diagnosis can be even more diffi cult. And the management of heterotopic pregnancy still remains controversial. We have experienced a case of heterotopic pregnancy with cornual pregnancy after in vitro fertilization and embryo transfer. which was successfully treated by selective fetocide with ultrasonographically guided potassium chloride injection of cornual pregnancy while maintaining the viabillity of the intrauterine gestation.
참고문헌 (15)
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