宫内外复合妊娠的诊治

Diagnosis and treatment of heterotopic pregnancy with coexisting intrauterine pregnancy

随着辅助生殖技术的广泛应用,宫内外复合妊娠发病率逐渐升高。超声检查是诊断宫内外复合妊娠的主要方式,但由于警惕性不足,临床表现缺乏特异性,容易漏诊。宫内外复合妊娠的治疗以保守治疗和手术治疗为主。由于多数患者要求保留宫内妊娠,治疗时需要综合考虑到对宫内妊娠的影响和患者的安全性,个体化选择治疗方案。

The incidence of heterotopic pregnancy with coexisting intrauterine pregnancy has increased gradually with the widespread use of assisted reproductive technology.Ultrasound examination is the main method of diagnosis.However,radiologists and doctors are prone to miss the diagnosis for the lack of both awareness and typical clinical presentation of heterotopic pregnancy.The main treatment options include conservative treatment and surgical treatment.As most patients wish to keep the intrauterine pregnancy,it is important to take the potential impact on intrauterine pregnancy and the safety of patients into consideration and make individualized treatment plan.