CAJ | 학술논문

目的：探讨在辅助生殖技术（ART）后特殊部位异位妊娠的诊治方案。方法对我中心2014年1~6月ART后特殊部位异位妊娠8例进行回顾性分析，其诊断为异位妊娠后均及时进行了腹腔镜手术。结果8例术后病理均证实为异位妊娠，其中宫内妊娠合并输卵管妊娠4例，输卵管间质部妊娠2例，双侧输卵管同时妊娠1例，腹腔妊娠1例。术后宫内妊娠合并异位妊娠患者4例术后均未发生流产，其中1例已分娩，新生儿目前无明显异常，另3例目前仍在继续妊娠中。其余4例患者血HCG均在术后30d之内降至正常。结论在临床工作中对于进行ART后的患者应进行仔细随访，同时应根据患者病情结合患者需求给予个性化治疗。ART治疗后异位妊娠的发生受多种因素影响，临床工作中应加强对特殊部位异位妊娠的认识及重视，以避免漏诊、误诊。
목적：탐토재보조생식기술（ART）후특수부위이위임신적진치방안。방법대아중심2014년1~6월ART후특수부위이위임신8례진행회고성분석，기진단위이위임신후균급시진행료복강경수술。결과8례술후병리균증실위이위임신，기중궁내임신합병수란관임신4례，수란관간질부임신2례，쌍측수란관동시임신1례，복강임신1례。술후궁내임신합병이위임신환자4례술후균미발생유산，기중1례이분면，신생인목전무명현이상，령3례목전잉재계속임신중。기여4례환자혈HCG균재술후30d지내강지정상。결론재림상공작중대우진행ART후적환자응진행자세수방，동시응근거환자병정결합환자수구급여개성화치료。ART치료후이위임신적발생수다충인소영향，림상공작중응가강대특수부위이위임신적인식급중시，이피면루진、오진。
Objective To investigate the diagnosis and treatment plan of assisted reproductive technology (ART) in specific ectopic pregnancy.Methods 8 cases with specific ectopic pregnancy in our center from January 2014 to June 2014 were analyzed retrospectively. After the diagnosis of ectopic pregnancy were promptly underwent laparoscopic surgery.Results Eight cases were pathologically confirmed ectopic pregnancy, intrauterine pregnancy with tubal pregnancy were four cases, and interstitial tubal pregnancy were two cases, one case with bilateral tubal pregnancies, one case with abdominal pregnancy. 4 cases with ectopic pregnancy after intrauterine pregnancy did not occur abortion, one case had been childbirth, the neonatal currently had no obvious abnormalities, and the other three cases were continuing pregnancy. The remaining four cases were in the postoperative serum hCG to normal within 30 days.Conclusion In patients with clinical work for ART should be carefully followed up after, and should be given individualized treatment combined with patient needs based on the patient's condition. Incidence of ectopic pregnancy after ART treatment by a variety of factors, clinical work should be strengthened to specific ectopic pregnancy awareness and attention in order to avoid misdiagnosis.