宫内早孕合并左侧输卵管伞部妊娠一例及文献复习

Early Intrauterine Pregnancy Complicated with Left Tubal Umbrella Pregnancy: A Case Report and Literature Review

宫内孕合并异位妊娠临床罕见,近年来随着辅助生殖技术的兴起,其发病率有所上升。其临床表现不一,主要取决于种植于宫腔外的异位妊娠胚胎的发育情况,轻者可无明显症状或体征,严重者可致患者腹腔大出血、失血性休克甚至死亡。由于宫内孕合并异位妊娠十分凶险,临床上应尽早诊断,采取个体化治疗,以确保母儿安全。现报道1例罕见的宫内早孕合并左侧输卵管伞部妊娠病例,并进行相关文献复习,总结宫内孕合并异位妊娠的相关知识,以期引起妇产科医生的重视。

Heterotopic pregnancy is rare in clinic and in recent years,with the rise of assisted reproductive technology,the incidence has risen.Its clinical manifestations are different,mainly depending on the development of ectopic pregnancy lesions implanted outside the uterine cavity.The mild cases have no obvious symptoms or signs,and the severe cases may cause abdominal hemorrhage,hemorrhagic shock or even death.As heterotopic pregnancy is very dangerous,clinical diagnosis should be made as soon as possible and individualized treatment should be taken to ensure the safety of mothers and children.In order to take the attention of gynecologists and obstetricians,now we report a case of early intrauterine pregnancy complicated with left tubal umbrella pregnancy and consult the relevant literature,summarize the knowledge of heterotopic pregnancy.