自发性宫内外同时妊娠

Spontaneous Heterotopic Pregnancy

目的 :提高对自发性宫内外同时妊娠的认识及诊治水平。方法 :回顾性分析了 4例经手术及病理检查证实的自发性宫内外同时妊娠患者的病因、临床表现及诊断、治疗。结果 :4例平均孕次 3.2 5次 ;其中 75% ( 3/4)有平均 2 .2 5次的人工流产病史 ;1例 ( 2 5% ,1 /4)有 1次宫外妊娠手术史。首诊时 ,漏诊宫内妊娠、宫外妊娠各 2例 ,后经B超检查 ,剖腹探查确诊 ;4例均施患侧输卵管切除及人工流产术治愈。结论 :自发性宫内外同时妊娠与盆腔炎、盆腔手术及妊娠有关 ;剖腹探查与B超检查为宫内外同时妊娠的主要诊断依据。

Purpose:In order to improve the levels of treatment and diagnosis and recognition of heterotopic pregnancy (HP).Methods:Etology,clinical features,diagnosis and treatment were retropective analyzed in 4cases of HP.Results:there were average 3.25 times history of gestation in every case,2.25 times history of artificial abortion in 3 cases,and a history of salpingnostomy in 1 case. At first IUP or EP of all cases were not diagnosed. All patients were cured by salpingectomy and artificial abortion.Conclution:①HP has a relationship with pregnancy and pelvic inflammatory disease.②Both the ultrasounic application and opening abodominal examination Played an important role in the diagnosis of HP.