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目的:探讨辅助助孕后宫内外同时妊娠的发生率、危险因素、诊断、治疗及预后。方法:回顾性分析2000-06/2008-06我中心辅助助孕的13例宫内外同时妊娠病例。结果:辅助助孕HP发生率1.56%,占双胎妊娠的5.62%;13例患者4例足月顺娩,1例妊娠中,8例宫内孕胚亡行药流或清宫术。结论:辅助助孕后HP发生明显增加,特别输卵管因素不孕及移植多个胚胎者,HP临床表现不典型,易误诊,应引起重视。
Objective: To investigate the incidence, risk factors, diagnosis, treatment and prognosis of simultaneous intrauterine and extrauterine pregnancy after auxiliary pregnancy. Methods: A retrospective analysis of 13 cases of simultaneous intrauterine and extrauterine pregnancy in our center assisted pregnancy from 2000-06 / 2008-06. Results: The incidence of HP was 1.56%, accounting for 5.62% of twin pregnancies. In 13 patients, 4 cases were given full-term delivery, and 1 case of pregnancy. Eight patients underwent intrauterine pregnancy or abortion. CONCLUSIONS: The incidence of HP increased significantly after assisted gestation. In particular, tubal infertility and transplantation of multiple embryos were not typical of HP clinical manifestations and were easily misdiagnosed.