摘要
目的探讨在辅助生殖技术（ART）后特殊部位异位妊娠的诊治方案。方法对我中心2014年1~6月ART后特殊部位异位妊娠8例进行回顾性分析,其诊断为异位妊娠后均及时进行了腹腔镜手术。结果8例术后病理均证实为异位妊娠,其中宫内妊娠合并输卵管妊娠4例,输卵管间质部妊娠2例,双侧输卵管同时妊娠1例,腹腔妊娠1例。术后宫内妊娠合并异位妊娠患者4例术后均未发生流产,其中1例已分娩,新生儿目前无明显异常,另3例目前仍在继续妊娠中。其余4例患者血HCG均在术后30d之内降至正常。结论在临床工作中对于进行ART后的患者应进行仔细随访,同时应根据患者病情结合患者需求给予个性化治疗。ART治疗后异位妊娠的发生受多种因素影响,临床工作中应加强对特殊部位异位妊娠的认识及重视,以避免漏诊、误诊。
Objective To investigate the diagnosis and treatment plan of assisted reproductive technology（ART） in specific ectopic pregnancy. Methods 8 cases with specific ectopic pregnancy in our center from January 2014 to June 2014 were analyzed retrospectively. After the diagnosis of ectopic pregnancy were promptly underwent laparoscopic surgery. Results Eight cases were pathologically confirmed ectopic pregnancy, intrauterine pregnancy with tubal pregnancy were four cases, and interstitial tubal pregnancy were two cases, one case with bilateral tubal pregnancies, one case with abdominal pregnancy. 4 cases with ectopic pregnancy after intrauterine pregnancy did not occur abortion, one case had been childbirth, the neonatal currently had no obvious abnormalities, and the other three cases were continuing pregnancy. The remaining four cases were in the postoperative serum h CG to normal within 30 days. Conclusion In patients with clinical work for ART should be carefully followed up after, and should be given individualized treatment combined with patient needs based on the patient＇s condition. Incidence of ectopic pregnancy after ART treatment by a variety of factors, clinical work should be strengthened to specific ectopic pregnancy awareness and attention in order to avoid misdiagnosis.
出处
《中国医药科学》
2015年第18期65-67,共3页
China Medicine And Pharmacy
