Clinical diagnosis and treatment analysis of 9 cases of bilateral tubal pregnancy
10.3760/cma.j.cn101441-20240307-00084
- VernacularTitle:双侧输卵管妊娠9例临床诊治分析
- Author:
Yingying LU
1
;
Jingjing XIAO
;
Shuwu XIE
;
Xinhong YE
Author Information
1. 复旦大学附属妇产科医院妇产科 上海市生殖内分泌相关疾病重点实验室，上海 200011
- Publication Type:Journal Article
- Keywords:
Bilateral tubal pregnancy;
β-human chorionic gonadotrophin;
Embryo transfer
- From:
Chinese Journal of Reproduction and Contraception
2025;45(6):628-631
- CountryChina
- Language:Chinese
-
Abstract:
Bilateral tubal pregnancy is a rare ectopic pregnancy that occurs in both fallopian tubes. In order to explore the clinical diagnosis and treatment methods, pathological analysis, and treatment outcomes of the disease, we retrospectively analyzed the clinical data of 9 cases of bilateral tubal pregnancy admitted to the Obstetrics and Gynecology Department of Obstetrics & Gynecology Hospital of Fudan University from January 2003 to December 2023. All cases were confirmed as bilateral tubal pregnancy by preoperative ultrasound, and all with a history of embryo transfer, which pregnancy sites distributed in the ampulla and interstitial regions of the fallopian tubes. The treatment method was bilateral salpingectomy. After treatment, there were no cases of secondary surgery, and one case successfully gave birth. In summary, as a rare and atypical type of ectopic pregnancy, bilateral tubal pregnancy should be detected and diagnosed early. Personalized treatment plans should be developed based on the patient's condition and needs. After treatment, changes in blood β-human chorionic gonadotropin should be monitored strictly, and auxiliary examination methods such as Doppler ultrasound should be used to alert to the occurrence of persistent ectopic pregnancy and even trophoblastic diseases
