双侧输卵管同时妊娠1例及文献复习

Bilateral tubal pregnancy:a case report and literature review

目的:探讨临床罕见病例——双侧输卵管妊娠的诊断及治疗方法。方法:通过病例报道和相关文献复习,对双侧输卵管妊娠的病因、诊断及治疗作一分析。结果:双侧输卵管妊娠发生率较低,容易漏诊,对患者造成不良影响甚大,早期诊断和治疗尤为重要。结论:辅助生殖技术(ART)为不孕症患者带来福音的同时,在一定程度上增加了异位妊娠(EP)的发生率,尤其是某些特殊类型的EP。对于可疑患者,超声和手术应仔细探查双侧附件的情况,以便早期发现和治疗。

Objective： To discuss the early diagnosis and current treatment methods of bilateral tubal pregnancy. Methods： An unusual case of bilateral tubal pregnancy and relevant literatures were reviewed, and the etiology, diagnosis as well as treatment of bilateral tubal pregnancy were discussed in the article. Results： Bilateral tubal pregnancy is a rare form of ectopic pregnancy which is difficult to be diagnosed at early stages. Because of the great harm to the patients, the early diagnosis and treatment are very important. Conclusion： While helping infertile patients, assisted reproductive techniques （ART） may increase the incidence of ectopic pregnancy （EP）, especially some special types of EP. In order to get an early diagnosis and treatment, the clinician should pay more attention to ultrasonography and intra-operation inspection of both side fallopian tubes in any EP case.