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目的探讨经阴道超声检查(TVS)对体外受精-胚胎移植(IVF-ET)后多部位同时妊娠的诊断价值。方法对2009年4月~2014年1月在我院就诊,手术及病理证实的IVF-ET后9例多部位同时妊娠的声像图作回顾性分析。结果手术及病理确诊的9例IVF-ET后多部位同时妊娠中TVS诊断8例,其中宫内孕合并输卵管妊娠4例,双侧输卵管妊娠2例,双侧输卵管间质部妊娠1例,右侧输卵管间质部和壶腹部同时妊娠1例,1例诊断宫内孕漏诊合并的右侧输卵管妊娠。结论 TVS对IVF-ET后多部位同时妊娠具有重要的诊断价值。
Objective To investigate the value of transvaginal ultrasonography (TVS) in the diagnosis of multi-site simultaneous pregnancy after in vitro fertilization-embryo transfer (IVF-ET). Methods A retrospective analysis of 9 cases of multi-site simultaneous pregnancy after IVF-ET was performed in our hospital from April 2009 to January 2014 was performed retrospectively. Results Eight cases were diagnosed by TVS in 9 cases of IVF-ET with operation and pathology. Among them, 8 cases were diagnosed as TVS by intrauterine pregnancy combined with tubal pregnancy, 2 cases with bilateral tubal pregnancy, 1 case with bilateral tubal interstitial pregnancy, 1 case of lateral tubal interstitial and ampulla at the same time pregnancy, 1 case diagnosed intrauterine pregnancy missed diagnosis of right tubal pregnancy. Conclusion TVS has important diagnostic value for multi-site simultaneous pregnancy after IVF-ET.