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子宫内、外同时妊娠的处理进展

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Author:: No author available

Journal Title:: Chinese Journal of Obstetrics and Gynecology

Issue:: 11

DOI:: 10.3760/cma.j.issn.0529-567x.2014.11.020

Key Word:: No keyword available

Abstract：子宫内、外同时妊娠(heterotopic pregnancy,HP)是指宫腔内妊娠与异位妊娠同时存在,比较罕见,在自然妊娠妇女中发生率为1/30 000,随着辅助生殖技术的开展,发生率有所升高,在接受辅助生殖技术治疗的妇女中发生率约为1％[1].HP人群往往有输卵管不孕因素,雌孕激素水平高,卵母细胞或移植的胚胎数多.除了胚胎移植技术本身,有学者认为,移植过程中使用的媒介的容积和黏滞度对HP的发生也有一定的影响[2].盆腔炎症病史也是HP的易患因素.与宫内妊娠同时存在的异位妊娠可以引起严重的出血,使孕妇处于危险状态,甚至危及孕妇生命及宫内的正常胚胎.因此,对于有生育要求的HP妇女,及早发现,适时处理异位妊娠既可避免不良后果又有助于宫内妊娠的继续.

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