宫内合并特殊部位复合妊娠5例临床分析并文献复习  

Clinical analysis of 5 cases of rare heterotopic pregnancy and literature review

作　　者：杨霞[1] 徐冬梅[1] 吕江涛[1] Yang Xia;Xu Dongmei;Lyu Jiangtao(Department of Obstetrics and Gynecology,Chongqing Health Center for Women and Children,Women and Children's Hospital of Chongqing Medical University,Chongqing 401147,China)

机构地区：[1]重庆市妇幼保健院、重庆医科大学附属妇女儿童医院妇产科,重庆401147

出　　处：《中华生殖与避孕杂志》2023年第11期1173-1177,共5页Chinese Journal of Reproduction and Contraception

基　　金：重庆市渝中区科委项目(20190144)。

摘　　要：目的探讨宫内合并特殊部位复合妊娠的诊治方法,以提高特殊复合妊娠的诊治水平。方法回顾性分析2017年1月至2020年12月期间在重庆市妇幼保健院妇产科诊断为宫内合并特殊部位复合妊娠5例的临床资料,总结特殊复合妊娠的临床特点、治疗方案及结局。结果5例患者有2例采取减胎术,有3例采取腹腔镜下妊娠物清除术。5例患者均保留了子宫的完整性,1例早产,4例足月产,母婴结局良好。结论早诊断、早治疗是改善宫内合并特殊部位复合妊娠预后的重要因素之一;治疗方案要根据患者对宫内妊娠的期望值、异位妊娠部位及医疗资源进行个体化的治疗。ObjectiveTo analyze and improve the diagnosis and treatment of rare heterotopic pregnancy.MethodsWe retrospectively analyzed the clinical data of 5 patients diagnosed with rare heterotopic pregnancy at the Department of Obstetrics and Gynecology,Chongqing Health Center for Women and Children from January 2017 to December 2020 and reviewed the clinical characteristics,treatment options,and outcomes of them.ResultsTwo of the 5 patients underwent ectopic pregnancy reduction,3 patients underwent laparoscopic ectopic gestational sac removal.Five patients had preservation of uterine integrity,a patient had preterm birth,4 patients had term birth,and the mother and baby had good outcomes.ConclusionEarly diagnosis and treatment are important factors in improving the prognosis of the disease.Treatment regimens should be individualized based on patient expectations of intrauterine pregnancy,location of ectopic pregnancy,and medical resources.

关 键 词：生殖技术 辅助 妊娠结局 特殊部位复合妊娠 

分 类 号：R714.2[医药卫生—妇产科学]