IVF-ET术后宫颈妊娠同时合并卵巢妊娠一例

A Case Report on Cervical Pregnancy Combined with Ovarian Pregnancy after IVF-ET

宫颈妊娠同时合并卵巢妊娠是一种特殊类型的异位妊娠,其发生率远低于输卵管妊娠,但风险极大,诊治不及时可能造成严重不良后果,需尽早识别,力争做到早诊断、早治疗。近年随着辅助生殖技术的快速发展,宫颈妊娠同时合并卵巢妊娠的发生率均较前升高,但彩色超声技术的进步有助于此种类型异位妊娠的早期诊断。现回顾中国人民武装警察部队特色医学中心妇科2022年收治的1例体外受精-胚胎移植术后宫颈妊娠同时合并卵巢妊娠的病例,该患者同时发生两种类型的异位妊娠,极为罕见和特殊,由于该病例早期诊断及时,通过个体化的药物治疗+宫颈管搔刮,避免了有创手术、动脉栓塞等操作,做到了患者副损伤、费用及痛苦的最小化,结局满意。

The pregnancy with both cervical pregnancy and ovarian pregnancy is a special type of ectopic pregnancy.The incidence is far lower than that of tubal pregnancy.However,the risk is relatively high,and untimely diagnosis and treatment may cause serious adverse consequences.It is necessary to identify,diagnose and treat as early as possible.In recent years,with the progress of assisted reproductive technology,the incidence of this type of ectopic pregnancy has increased.The color ultrasound technology is helpful to the early diagnosis.In2022,a woman diagnosed with cervical pregnancy combined with ovarian pregnancy after in vitro fertilization-embryo transfer was diagnosed in the department of gynecology at the Characteristic Medicine Center of the Chinese People′s Armed Police Forces.In this extremely rare and special case,because of the early diagnosis,the woman was cured with minimized side injury,cost and pain by the method of individualized drug and curettage of cervical canal,without any invasive operations such as surgery or arterial embolism.The outcome was very satisfactory.