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目的探讨辅助生育技术后宫内宫外同时妊娠的病因、临床特点、处理及宫内胚胎的预后。方法对本院1996年6月至2007年10月收治的8例宫内宫外同时妊娠病例进行回顾性分析。结果8例宫内宫外同时妊娠患者中,5例有输卵管炎,6例为辅助受孕,2例自然妊娠,4例腹腔内出血大于1000m l。结论既往输卵管或盆腔疾患、宫外孕、输卵管手术是辅助生育技术后HP发生的常见原因。输卵管炎与辅助生育是宫内宫外同时妊娠的主要病因。误诊可造成腹腔内大出血。加强B超监测有助于早诊断、早治疗。异位妊娠的终止可能影响宫内妊娠的预后。
Objective To investigate the etiology, clinical features, treatment and prognosis of intrauterine embryo in assisted intrauterine injection of assisted reproductive technology. Methods A retrospective analysis was performed on 8 cases of simultaneous intrauterine and utero pregnancy in our hospital from June 1996 to October 2007. Results Among the 8 cases of intrauterine ectopic pregnancy, 5 had salpingitis, 6 had assisted pregnancy, 2 had natural pregnancy and 4 had intraperitoneal hemorrhage of more than 1000 mL. Conclusion Conventional tubal or pelvic disorders, ectopic pregnancy and tubal surgery are common causes of HP after assisted reproductive technology. Salpingitis and assisted reproduction is the main cause of intrauterine uterine simultaneous pregnancy. Misdiagnosis can cause intra-abdominal bleeding. Strengthening B-monitoring can help early diagnosis and early treatment. The termination of ectopic pregnancy may affect the prognosis of intrauterine pregnancy.