辅助生育技术后宫内宫外同时妊娠的临床分析

Analysis on clinical feature of heterotopic pregnancy(HP) after assisted reproductive technology.

目的探讨辅助生育技术后宫内宫外同时妊娠的病因、临床特点、处理及宫内胚胎的预后。方法对本院1996年6月至2007年10月收治的8例宫内宫外同时妊娠病例进行回顾性分析。结果8例宫内宫外同时妊娠患者中,5例有输卵管炎,6例为辅助受孕,2例自然妊娠,4例腹腔内出血大于1000m l。结论既往输卵管或盆腔疾患、宫外孕、输卵管手术是辅助生育技术后HP发生的常见原因。输卵管炎与辅助生育是宫内宫外同时妊娠的主要病因。误诊可造成腹腔内大出血。加强B超监测有助于早诊断、早治疗。异位妊娠的终止可能影响宫内妊娠的预后。

Objective： To explore the causes of heterotopic pregnancy （HP） and its clinical features and management and prognosis of the fetus in uterus. Methods ： A total of 8 cases of heterotopic pregnancy were retrospectively reviewed in Hainan medical college affiliated hospital from Jun 1996 to Oct 2007. Results： Of the 8 heterotopic pregnancy （HP） , 5 cases salpingitis, 6 cases were these patients who were assisted reproductive technology, 2 cases natural pregnancy. The volume of bleeding is larger than 1000 ml. Conclusion： The causes of heterotopic pregnancy （HP） may be related to the salpingitis and assisted reproductive technology.