摘要:目的 探讨宫内外同时妊娠(HP)的病因、诊断及治疗方法。方法 回顾2007年7月至2009年7月广州医学院第三附属医院妇产科住院部6例明确诊断为宫内外同时妊娠的患者资料，并分析HP的病因、诊断方法、鉴别诊断、治疗方法及妊娠结局。结果 6例患者诊断孕周为6至10周，其中有5例为体外授精-胚胎移植(IVF-ET)术后，1例为人工授精(AIH)后受孕;5例入院前B超发现宫内外同时妊娠，有1例先兆流产入院治疗复查B超发现;均住院接受手术治疗，5例术后即予抗炎及保胎治疗，治愈出院，随访足月分娩;1例术后即予抗炎，3天后予保胎治疗，但术后第6天宫内妊娠流产。结论 有盆腔炎性疾病后遗症及人工助孕病史等高危因素者在B超检查诊断HP后，应及早行手术联合术后保胎治疗，以提高宫内胎儿预后。【Abstract】 objective To investigate the pathogenesis、diagnosis and treatment of heterotopic pregnancy(HP).Methods This retrospective study was conducted in six cases of HP diagnosed from all ectopic pregnancy from July 2007 to July 2009 at inpatient department of the Third Affiliated Hospital of Guangzhou Medical College. The clinical data of the patients were reviewed and the pathogenesis, diagnosis and treatment of HP were analyzed.Results Among the of all 6 cases whose gestational week were 6 weeks to 10 weeks, , 5 cases were pregnant by IVF-ET, one case was pregnant by AIH. All of them were diagnosed by ultrasonography detection and treated laparoscopic surgery. Five patients received anti-inflammatory and miscarriage treatment postoperatively were cured and had successful full-term delivery. One patient received anti-inflammatory treatment and miscarriage treatment the first day and the 3rd day postoperatively,suffered abortion 6 days after surgery. Conclusion someone has the risk factors such as pelvic inflammatory disease and artificial help pregnant history if been diagnosed by ultrasonography detection, should be arranged laparoscopic surgery as early as possible to improve prognosis.
