宫内外复合妊娠的诊断与治疗

宫内外复合妊娠(heterotopic pregnancy,HP)是一种病理性妊娠疾病,在自然妊娠中较为罕见,但随着辅助生殖技术的发展,其发病率逐渐增加.输卵管因素和辅助生殖技术的应用是HP发病的主要因素.经阴道超声和血人绒毛膜促性腺激素(human chorionic gonadotropin,hCG)值的联合应用可...

Diagnosis and Treatment of Heterotopic Pregnancy

Heterotopic pregnancy (HP) is a complicated pathological pregnancy, which is rare in natural pregnancy. However, with the development of assisted reproductive technology (ART), the incidence is gradually increasing. Tubal factors and the application of ART are the main factors of HP pathogenesis. It is easy to miss diagnosis or delay diagnosis because of simultaneous intrauterine pregnancy and lack of specificity of symptoms and signs in early stage. The combined application of transvaginal ultrasound and blood hCG value can improve the sensitivity of diagnosis. Therefore, patients with high-risk factors should be in well vigilant, and be diagnosed early, so as to reduce the incidence of adverse obstetric outcomes. Laparoscopic surgery is the main treatment for HP, and other treatments include conservative treatment and drug treatment. Because of the different reproductive needs of patients, the individualized treatment should be adopted to minimize the impact on intrauterine pregnancy and strive for a better pregnancy outcome. If HP can be diagnosed early and treated actively, the prognosis is generally better.