Heterochronic bilateral ectopic pregnancy after ovulation induction
Heterochronic bilateral ectopic pregnancy after ovulation induction
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诱导排卵后异时性双侧宫外孕
DOI：
10.1631/jzus.b1400081
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发表时间：
2014-08-01
影响因子：
5.1
通讯作者：
Zhang, Dan
中科院分区：
文献类型：
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作者：
Zhu, Bo;Xu, Gu-feng;Zhang, Dan
异位妊娠是目前广泛应用的辅助生殖技术。双侧异位妊娠是一种罕见的异位妊娠，在术前阶段很难诊断。在本文中，我们提出了一个不寻常的情况下，异时双侧异位妊娠后，刺激宫腔内人工授精（IUI），其中有一个延迟22天之间的诊断两个异位妊娠。回顾性分析MEDLINE数据库中近4年来有关双侧异位妊娠的文献。我们收集了2008年以来报道的16例双侧异位妊娠病例，并分析了双侧异位妊娠病例的特点。我们强调，促排卵和其他ART可能会增加双侧异位妊娠的风险。由于超声检查难以识别双侧异位妊娠，因此临床医生应意识到治疗一次异位妊娠并不排除同一患者发生第二次异位妊娠，并应注意任何异位妊娠病例的双侧输卵管检查。
Ectopic pregnancy is identified with the widely-applied assisted reproductive technology (ART). Bilateral ectopic pregnancy is a rare form of ectopic pregnancy which is difficult to be diagnosed at the pre-operation stage. In this paper, we presented an unusual case of heterochronic bilateral ectopic pregnancy after stimulated intrauterine insemination (IUI), where there has been a delay of 22 d between the diagnoses of the two ectopic pregnancies. Literature was reviewed on the occurrence of bilateral ectopic pregnancy during the past four years in the MEDLINE database. We found 16 cases of bilateral ectopic pregnancy reported since 2008, and analyzed the characteristics of those cases of bilateral ectopic pregnancy. We emphasize that ovulation induction and other ARTs may increase the risk of bilateral ectopic pregnancy. Because of the difficulty in identification of bilateral ectopic pregnancy by ultrasonography, the clinician should be aware that the treatment of one ectopic pregnancy does not preclude the occurrence of a second ectopic pregnancy in the same patient and should pay attention to the intra-operation inspection of both side fallopian tubes in any ectopic pregnancy case.