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目的 :提高对自发性宫内外同时妊娠的认识及诊治水平。方法 :回顾性分析了 4例经手术及病理检查证实的自发性宫内外同时妊娠患者的病因、临床表现及诊断、治疗。结果 :4例平均孕次 3.2 5次 ;其中 75% ( 3/4)有平均 2 .2 5次的人工流产病史 ;1例 ( 2 5% ,1 /4)有 1次宫外妊娠手术史。首诊时 ,漏诊宫内妊娠、宫外妊娠各 2例 ,后经B超检查 ,剖腹探查确诊 ;4例均施患侧输卵管切除及人工流产术治愈。结论 :自发性宫内外同时妊娠与盆腔炎、盆腔手术及妊娠有关 ;剖腹探查与B超检查为宫内外同时妊娠的主要诊断依据。
OBJECTIVE: To improve the understanding and diagnosis and treatment of spontaneous intrauterine and uterine simultaneous pregnancies. Methods: Retrospective analysis of 4 cases of spontaneous intrauterine and extrauterine pregnancy confirmed by surgery and pathology confirmed the etiology, clinical manifestations and diagnosis and treatment. Results: The average number of pregnancies in 4 cases was 3.2 5 times. Among them, 75% (3/4) had an average of 2.2 times the history of induced abortion; 1 case (25%, 1/4) had a history of ectopic pregnancy . First visit, missed intrauterine pregnancy, ectopic pregnancy in 2 cases, after B-ultrasound, laparotomy confirmed; 4 patients were treated with tubal ablation and artificial abortion were cured. Conclusions: Spontaneous intrauterine and extrauterine pregnancy is associated with pelvic inflammatory disease, pelvic surgery and pregnancy. Laparotomy and B-ultrasound are the main diagnostic criteria for simultaneous intrauterine and extrauterine pregnancy.