复合妊娠的诊疗进展

doi:10.12280/gjszjk.20200139

摘要/Abstract

摘要：

复合妊娠是指宫内妊娠同时合并异位妊娠的一种病理性妊娠。自然状况下发生复合妊娠的情况较罕见,发病率约为1/30 000,但是随着辅助生殖技术的应用导致复合妊娠的发生率逐年升高。对于大部分复合妊娠患者来说宫内胎儿极其珍贵,如何准确诊断及治疗使其宫内胎儿获得良好的妊娠结局具有重要意义。但是由于宫内妊娠的干扰,增加了异位妊娠病灶的诊断难度,常发生误诊或漏诊,严重威胁母儿健康,而目前对于复合妊娠的诊疗尚未达成统一共识。通过介绍复合妊娠的临床特点、诊断方法及治疗研究进展,提高患者和医务工作者对复合妊娠的认识,为临床医生提供诊疗依据。

关键词: 妊娠, 复合, 妊娠, 异位, 生殖技术, 辅助, 腹腔镜检查, 诊断, 治疗, 妊娠结局

Abstract:

Heterotopic pregnancy is a kind of pathological pregnancy of the intrauterine pregnancy with simultaneous ectopic pregnancy. The incidence of heterotopic pregnancy is rare in natural condition, about 1/30 000. However, with the application of assisted reproduction, the incidence of complex pregnancy has increased year by year. The intrauterine fetus is precious for those patients with heterotopic pregnancy. How to diagnose and treat the intrauterine fetus accurately is of great significance. However, due to the interference of intrauterine pregnancy, the difficulty of the diagnosis of simultaneous ectopic pregnancy is increased. The misdiagnosis or missed diagnosis of heterotopic pregnancy is common, which seriously threatens the health of mother and child. There is no consensus on the diagnosis and treatment of heterotopic pregnancy. The clinical characteristics, diagnosis and treatment of heterotopic pregnancy, as well as the research progress, were summarized in this review.

Key words: Pregnancy, heterotopic, Pregnancy, ectopic, Reproductive techniques, assisted, Laparoscopy, Diagnosis, Therapy, Pregnancy outcome

吴丹, 张瑶, 张慧杰, 李馨慧, 张淑兰. 复合妊娠的诊疗进展[J]. 国际生殖健康/计划生育, 2021, 40(1): 84-88.

WU Dan, ZHANG Yao, ZHANG Hui-jie, LI Xin-hui, ZHANG Shu-lan. Progress in Diagnosis and Treatment of Heterotopic Pregnancy[J]. Journal of International Reproductive Health/Family Planning, 2021, 40(1): 84-88.

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