体外受精-胚胎移植术后宫内妊娠合并输卵管间质部妊娠6例临床分析

目的探讨体外受精－胚胎移植术(in vitro fertilization and embryo transfer, IVF-ET)后宫内妊娠合并输卵管间质部妊娠的临床特点和治疗方法。 方法回顾性分析2014年3月至2018年12月暨南大学医学院附属深圳市宝安区妇幼保健院妇产科收治IVF-ET后宫内妊娠合并输卵管间质部妊娠的6例临床资料及治疗方法。 结果6例患者均采用手术治疗，其中4例开腹手术，2例腹腔镜手术，发生早期流产1例，活产分娩5例，无子宫破裂及新生儿畸形发生。 结论宫内妊娠合并输卵管间质部妊娠主要依靠阴道超声诊断，手术治疗可获得良好妊娠结局，腹腔镜手术是安全可行的。

Clinical analyze of six patients of the coexistence of intrauterine pregnancy and interstitial tubal heterotopic pregnancy after in vitro fertilization-embryo transfer

ObjectiveTo evaluate the clinical features and treatment of the coexistence of intrauterine pregnancy and interstitial tubal pregnancy after in vitro fertilization-embryo transfer(IVF-ET). MethodsClinical data of features and treatments of 6 patients with interstitial heterotopic pregnancy after IVF-ET, who were conducted in Bao′an Maternity and Child Healthcare hospital affiliated to Jinan University School of Medicine from March 2014 to December 2018, were analyzed retrospectively. ResultsAll the 6 patients were treated by surgery, including 4 patients of laparotomy and 2 patients of laparoscopic surgery. One patient had early abortion after surgery, the other 5 patients delivered successfully, without uterine rupture or neonatal malformation. ConclusionsThe majority of interstitial heterotopic pregnancy are diagnosed by transvaginal ultrasound. Surgical treatment can achieve good pregnancy outcomes, and laparoscopic surgery is feasible and safe.