国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2012, Vol. 31 ›› Issue (4): 278-280.

• 论著 • 上一篇    下一篇

非同步发育的双侧输卵管妊娠2例报告及文献回顾

涂炯炯 ,龚 斐   

  1. 中南大学生殖与干细胞工程研究所，中信湘雅生殖与遗传专科医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-07-15 发布日期:2012-07-15
  • 通讯作者: 龚 斐

Non-simultaneous Bilateral Tubal Ectopic Pregnancy：Two Case Reports and Literature Review

TU Jiong-jiong，GONG Fei   

  1. Reproductive and Stem Cell Engineering Center，Central South University，Changsha 410078，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-07-15 Online:2012-07-15
  • Contact: GONG Fei

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摘要： 目的：探讨经辅助生殖技术助孕导致的非同步发育的异位妊娠的早期诊断和治疗方法。方法：回顾2例助孕治疗导致的非同步发育的双侧输卵管妊娠情况，结合文献进行分析。结果：在确定单侧输卵管妊娠的情况下，迟发的对侧输卵管妊娠易被忽略，往往需要进行二次手术来进行治疗。结论：对因为输卵管因素不孕需要进行辅助生殖技术助孕的患者，切除双侧输卵管是有效地排除非同步发育的双侧输卵管妊娠的办法。但是对于需要保留对侧输卵管的患者来说，术中对对侧输卵管的仔细检查以及术后连续随访β绒毛膜促性腺激素水平能有效发现潜在的非同步发育的异位妊娠。

关键词: 生殖技术, 辅助, 异位妊娠, 妊娠, 输卵管, 治疗, 绒毛膜促性腺激素, β亚单位, 人

Abstract: Objectives：To discuss the early diagnosis of non-simultaneous ectopic pregnancy and current treatment methods. Methods：Two cases with non-simultaneous bilateral tubal ectopic pregnancy in our reproductive medical center and three cases previously reported have been reviewed. Results：The contralateral delayed ectopic pregnancy might be easily ingnored while unilateral pregnancy has been confirmed，which often needs secondary surgery. Conclusions：For the infertile women in ART with tubal factors，removal of both follopian tubes might be a solution to exclude the potential non-simultaneous bilateral tubal ectopic pregnancy while unilateral salpingectomy is performed. Otherwise，carefully examination of contralateral tube in surgery and strictly follow up of serum β-HCG after surgery facilitate to discover the potential non-simultaneous pregnancy for those people want to save another tube.

Key words: Reproductive techniques, assisted, Pregnancy, ectopic, Pregnancy, tubal, Therapy, Chorionic gonadotropin, beta subunit, human