Heterotopic pregnancy: two cases and a comparative review

被引:123
作者
Barrenetxea, Gorka [1 ,2 ]
Barinaga-Rementeria, Lorea [2 ]
Lopez de Larruzea, Arantza [2 ]
Ander Agirregoikoa, Jon [2 ]
Mandiola, Miren [1 ]
Carbonero, Koldo [1 ]
机构
[1] Univ Basque Country, Dept Obstet & Gynecol, Bilbao 48010, Spain
[2] Ctr Reprod Med & Infertil Quiron Bilbao, Bilbao, Spain
关键词
Heterotopic pregnancy; diagnosis; treatment; intrauterine pregnancy outcome; assisted reproductive techniques; literature review; IN-VITRO FERTILIZATION; POTASSIUM-CHLORIDE INJECTION; SELECTIVE EMBRYO REDUCTION; CESAREAN SCAR PREGNANCY; CERVICAL PREGNANCY; COMBINED INTRAUTERINE; ECTOPIC PREGNANCY; OVARIAN HYPERSTIMULATION; LAPAROSCOPIC RESECTION; NONSURGICAL MANAGEMENT;
D O I
10.1016/j.fertnstert.2006.05.085
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To analyze the incidence, diagnostic, and therapeutic management of heterotopic pregnancy by comparing a review for the 1971-1993 period with the one carried out in the present study (1994-2004). Design: Review of the literature. Setting: University teaching assisted reproductive technology (ART) center. Patient(s): Two case reports included in a comparative review of the literature on heterotopic pregnancy. Intervention(s): Review of the published literature from January 1994 to December 2004 was performed by means of MEDLINE database. Medical subject heading words used were: heterotopic pregnancy, assisted reproductive technology, and ectopic pregnancy. A comparison with a previously reported review, including cases from 1971 to 1993. Main Outcome Measure(s): Comparative study of the diagnosis and treatment of ectopic pregnancy. Result(s): During the 1971-1993 period the definitive diagnosis of heterotopic pregnancy was performed by laparoscopy or laparotomy in 59% of cases. This proportion increased to 74% from 1994 to 2004. Likewise, the percentage of cases in which an early diagnosis was possible (performed before the ninth week of pregnancy) did not vary in any of the time periods evaluated (71% vs. 74%). Conclusion(s): Despite the increased medical knowledge and use of improved reproductive technologies, heterotopic pregnancy still remains a diagnostic and therapeutic challenge to practitioners. (Fertil Steril (R) 2007;87:417.e9-15. (C) 2007 by American Society for Reproductive Medicine.)
引用
收藏
页码:417.e9 / 417.e15
页数:7
相关论文
共 68 条
[11]   Heterotopic pregnancy in a natural conception cycle presenting as hematometra [J].
Cheng, PJ ;
Chueh, HY ;
Qui, JT .
OBSTETRICS AND GYNECOLOGY, 2004, 104 (05) :1195-1198
[12]   Heterotopic pregnancy after in vitro fertilization-embryo transfer [J].
Chin, HY ;
Chen, FP ;
Wang, CJ ;
Shui, LT ;
Liu, YH ;
Soong, YK .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2004, 86 (03) :411-416
[13]   Conservative versus radical surgery for tubal pregnancy. A review [J].
Clausen, I .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1996, 75 (01) :8-12
[14]   The conservative management of early pregnancy complications: a review of the literature [J].
Condous, G ;
Okaro, E ;
Bourne, T .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2003, 22 (04) :420-430
[15]  
DEMOLA JRL, 1995, J REPROD MED, V40, P606
[16]   Heterotopic pregnancy:: case report [J].
Duce, MN ;
Özer, C ;
Egilmez, H ;
Apaydin, FD ;
Yildiz, A ;
Kara, E .
ABDOMINAL IMAGING, 2002, 27 (06) :677-679
[17]   Interstitial heterotopic pregnancy in a woman conceiving by in vitro fertilization after bilateral salpingectomy [J].
Dumesic, DA ;
Damario, MA ;
Session, DR .
MAYO CLINIC PROCEEDINGS, 2001, 76 (01) :90-92
[18]   Clinician's approach to ectopic pregnancy [J].
Emerson, DS ;
McCord, ML .
CLINICAL OBSTETRICS AND GYNECOLOGY, 1996, 39 (01) :199-222
[19]   Ectopic pregnancies after infertility treatment: modern diagnosis and therapeutic strategy. [J].
Fernandez, H ;
Gervaise, A .
HUMAN REPRODUCTION UPDATE, 2004, 10 (06) :503-513
[20]  
FERRAZZI E, 2004, ULTRASOUNDOBSTET GYN, V24, P292