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目的提高对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例均经B超检查,手术确诊;4例均保胎成功,足月分娩。结论宫内外同时妊娠与盆腔炎、盆腔手术及人工助孕有关;手术探查与B超检查为宫内外同时妊娠的主要诊断依据。
Objective To improve understanding and diagnosis and treatment of simultaneous intrauterine and external pregnancy. Methods The etiology, clinical manifestations, diagnosis and treatment of 4 cases of simultaneous intrauterine and extrauterine pregnancy confirmed by operation and pathology were retrospectively analyzed. Results All 4 cases were confirmed by B-ultrasound and confirmed by surgery. All 4 cases were successful in giving birth and full-term delivery. Conclusion Concurrent intrauterine and extrauterine pregnancy was associated with pelvic inflammatory disease, pelvic surgery and artificial pregnancy. Surgical exploration and B-ultrasound were the main diagnostic criteria for simultaneous intrauterine and extrauterine pregnancy.