계류유산후 진단된 병합임신 1예
A Case of Discovery of Heterotopic Pregnancy After Missed Abortion
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초록
병합임신이란 두 개의 수정란이 자궁강내와 자궁외에서 동시에 혹은 짧은 시간차를 두고 착상되어 발생하는 것으로 자연발생 빈도는 약 30,000 임신 중 1명으로 드물게 나타나며, 1708년 Duverney에 의해 처음으로 보고되었다. 최근에는 불임 환자의 체외 수정을 위한 배란 유도제의 사용이나 기타 생식 보조술의 발달, 골반내 염증, 난관수술 등의 증가로 인해 그 빈도가 증가하는 추세이다. 본 성애병원 산부인과에서는 계류유산으로 소파술 시행 후 난관임신 파열로 개복술을 시행한 1예를 경험하여 간단한 문헌고찰과 함께 보고하는 바이다.
Abstract
Heterotopic pregnancy, the potentially fatal condition in which simultaneous gestations occurs at two or more implantation sites, was first reported in 1708 as an autopsy finding. In natural conception cycles it is a rare event, occuring less than 1:30,000 pregnancies. However, with assisted reproduction techniques, this incidence increase. Also the frequency of heterotopic pregnancy has steadily increased because of rising incidence of pelvic inflammatory disease, former tubal surgery. We report a case of discovery of heterotopic pregnancy after missed abortion with brief review of literature.
참고문헌 (18)
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