促排卵治疗后卵巢合并对侧输卵管异位妊娠一例

A Case Report of Ovarian Combined with Contralateral Tubal Ectopic Pregnancy after Ovulation Induction

摘要: 卵巢合并输卵管妊娠是一种罕见的异位妊娠，在接受辅助生殖技术(Assisted reproductive technology, ART)的女性中发生率高，尤其当患者盆腔条件不理想时。分析1例发生卵巢合并对侧输卵管异位妊娠的患者，该患者接受了促排卵治疗(Ovulation induction, OI)及人工授精术。该患者因孕早期出现间断流血伴腹痛而被诊断出异位妊娠，并随后接受了手术治疗。术后病理证实卵巢及输卵管异位妊娠，且在大网膜处可见异常病灶。对本病例可能的病因进行分析和总结，以期为罕见异位妊娠处理及预防提供一定的经验。

Abstract: Coexisting ovarian and tubal pregnancy is a rare ectopic pregnancy, with a high incidence among women undergoing assisted reproductive technology (ART), especially when the patient has poor pelvic conditions. In this report, we analyzed a case of ovarian combined with contralateral tubal ectopic pregnancy. This patient underwent ovulation induction(OI) therapy and artificial insemination, and she was diagnosed with ectopic pregnancy due to intermittent bleeding with abdominal pain in early pregnancy and subsequently underwent surgery. Lastly, the pathology confirmed ectopic pregnancy of the ovary and fallopian tubes, and an abnormal lesion was found at the omentum majus. We summarized and analyzed the possible etiology of this case in order to gain some experience in the management and prevention of rare ectopic pregnancies.