输卵管同一部位双胎妊娠一例并文献复习  

Ectopic twin pregnancy in right fallopian tube： a case report and literature review

作　　者：徐鑫[1] 薛百功[2] 信瑞[1] 李丹丹[1] 张雪莹[1] 徐影[1] 

机构地区：[1]吉林大学第二医院妇产科,长春130000 [2]吉林大学基础医学院细胞生物教研室,长春130000

出　　处：《中华全科医师杂志》2017年第6期460-462,共3页Chinese Journal of General Practitioners

摘　　要：回顾分析我院收治的1例及国内文献报道的6例输卵管异位多胎妊娠患者的临床资料.我院1例异位双胎妊娠发生于体外受精-胚胎移植（IVF-ET）治疗后,为同步发育,主要表现为停经后阴道流血伴下腹痛,手术治疗后恢复良好.国内中文文献报道的6例均发生在辅助生殖技术治疗后,其中4例为IVF-ET、2例为人工授精;2例为胚胎同步发育,主要表现为停经后不规则阴道流血,手术治疗后恢复良好,4例非胚胎同步发育的表现为药物或手术治疗后阴道不规则流血,复查妇科彩超可见另一侧附件区包块,伴血hCG水平明显升高;1例药物保守,1例手术治疗,1例药物治疗失败加手术治疗,治疗后均恢复良好,1例因患者因素失访未二次治疗.One case of ectopic twin pregnancy in right fallopian tube after in vitro fertilization embryo transfer （IVF-ET） was admitted in our hospital.The development was in synchrony and the mainly manifestation was vaginal bleeding after menopause and abdominal pain.After surgery,the patient recovered well.Six cases reported in domestic literature occurred after assisted reproductive technology,including 4 cases after IVF-ET and 2 cases after artificial insemination.Two cases developed synchronously with the main manifestation of menopausal vaginal bleeding and recovered well after treatment.In 4 cases of non-synchronous embryos,after medical or surgical treatment irregular vaginal bleeding occurred,adnexal mass on the other side was found by gynecological ultrasound and blood hCG level increased significantly.Three cases recovered well after drug and/or surgical treatment and 1 case lost follow-up.

关 键 词：生殖技术 辅助 妊娠 异位 妊娠 多胎 

分 类 号：R714.22[医药卫生—妇产科学]