宫内孕合并宫外妊娠3例报道及文献回顾  

The report of three women with intrauterine pregnancy complicated with ectopic pregnancy and the literature review

作　　者：胡乔飞[1] 李长东[1] 陈素文[1] 罗岚蓉[1] 李坚[1] HU Qiaofei;LI Changdong;CHEN Suwen;LUO Lanrong;LI Jian(Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing,100026)

机构地区：[1]首都医科大学附属北京妇产医院,北京100026

出　　处：《中国计划生育学杂志》2021年第6期1189-1192,1196,共5页Chinese Journal of Family Planning

基　　金：北京市医院管理局临床医学发展专项经费资助(ZYLX201830)。

摘　　要：目的:探讨宫内宫外同时妊娠(HP)的临床诊断及治疗。方法:回顾性分析3例HP患者的临床资料,并文献复习。结果:2例自然受孕且在人工流产术后20+d及10+d发现HP;1例是IVF术后,稽留流产清宫手术前再次复查超声时发现同时合并异位妊娠。3例患者经过及时有效的治疗,预后良好。结论:对停经后出现腹痛或阴道出血的宫内早孕的女性,无论是IVF术后还是自然妊娠,均应排除异位妊娠的可能。早期诊断和及时治疗能维持良好的宫内妊娠结局及防止发生危及生命的严重并发症。Objective: To discuss the clinical diagnosis and treatment of the women with intrauterine pregnancy complicated with ectopic pregnancy. Methods: The clinical data of 3 women with intrauterine pregnancy complicated with ectopic pregnancy were analyzed retrospectively, and the literatures about intrauterine pregnancy complicated with ectopic pregnancy were reviewed. Results: 2 women were naturally pregnancy and were found to be intrauterine pregnancy complicated with ectopic pregnancy in 20+ days and 10+ days after the induced abortion. Another 1 woman had accepted IVF, and had been found intrauterine pregnancy complicated with ectopic pregnancy by the ultrasound rechecked before the dilatation and curettage operation because of missed abortion. The three women all had been effective treated timely and had good prognosis. Conclusion: For pregnant women with early abdominal pain or vaginal bleeding during the first trimester of pregnancy, the possibility of ectopic pregnancy should be excluded either after IVF or natural pregnancy. Early diagnosis and timely treatment for the women can obtain good pregnancy outcomes of their intrauterine pregnancy and can prevent serious serious life-threatening complications.

关 键 词：宫内宫外同时妊娠 诊断 治疗 

分 类 号：R714.22[医药卫生—妇产科学]