Analysis Of Clinical Data And Pregnancy Outcome Of 35 Cases Of Heterotopic Pregnancy

Objective: to analyze the clinical characteristics,different diagnosis and treatment methods and related intrauterine pregnancy outcomes of patients with heterotopic pregnancy,and to provide diagnosis and treatment basis for the diagnosis and treatment of heterotopic pregnancy.Methods: 35 cases of heterotopic pregnancy diagnosed in Shengjing Hospital of China Medial University from January 2012 to March 2019 are collected 。 their clinical ccharacteristics,diagnosis and treatment methods and intrauterine pregnancy outcome were followed up.Results:(1)Among the 35 patients,30(82.8%)were pregnant with art.In the past,14 patients underwent pelvic surgery,accounting for 40% of the total.There were 23 cases with the history of uterine cavity operation,accounting for 65.7% of the total cases.(2)26 cases(74.3%)had abdominal pain or vaginal bleeding.There were 8asymptomatic patients,accounting for 22.9% of the total cases.One patient had shock on admission and was unconscious.(3)In the 35 cases of compound pregnancy,12 cases had fetal sac or embryo bud,or fetal heart beat,which accounted for 34.3% of the total cases.There were 23 cases of indirect imaging,accounting for 65.7% of the total cases.(4)Of the 35 patients,22(62.9%)had HP in the fallopian tube.There were 10 cases of pregnancy in the interstitial part of the uterine horn,accounting for 28.6% of the total cases.Ovary,abdominal cavity and fallopian tube stump were 1 case,accounting for2.9% respectively.(5)According to different operations,different anesthesia methods,the amount of pelvic blood volume and the distance between the ectopic pregnancy point and the uterus,the patients who retained the intrauterine pregnancy and delivered successfully were divided into groups,and the influence on the outcome of the intrauterine pregnancy was analyzed.After statistical analysis,there was no significant difference in the gestational weeks of delivery,newborn weight and Apgar score of one minute in intrauterine pregnancy(P >0.05).Conclusion: 1 HP patients have the history of abnormal fallopian tube or art,and the history of uterine cavity operation may be the risk factor of HP.2The clinical manifestations of HP are various.If not found in time,it may have adverse effects on the outcome of fetus and parturient.Ultrasound examination can help clinicians find patients with nonspecific clinical manifestations in the early stage,and repeated ultrasound examination can reduce the rate of missed diagnosis.3After active treatment,the live rate of pregnancy in the uterus is high and there is no birth defect.Laparoscopic surgery is widely used in the treatment of HP because of its advantages of small trauma and quick recovery.