Diagnosis of 42 Cases of Intrauterine Twin Pregnancy Complicated With Ectopic Pregnancy

IF 2.1 4区医学 Q2 ACOUSTICS Journal of Ultrasound in Medicine Pub Date : 2024-09-27 DOI:10.1002/jum.16583

Mingxiang Zheng MSN, Yi Wen MD, Hengxu Wang MD, Yangqin Peng MAS, Gong Fei PhD, MD, Chen Hui MD, Yan Ouyang PhD, MD, Xihong Li PhD, MD

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Abstract

Objectives

The coexistence of intrauterine twin pregnancy and ectopic pregnancy (EP), known as heterotopic pregnancy, is a rare but potentially life-threatening condition. In this study, we aimed to investigate the pregnancy outcomes in women with intrauterine twin pregnancies complicated with EP after assisted reproductive technology.

Methods

This retrospective study analyzed the medical records of 42 women diagnosed with intrauterine twin pregnancies complicated with EP via ultrasound or surgery at our hospital between January 2005 and December 2020. We collected data on patient general characteristics, high-risk factors, clinical symptoms, ultrasound features, treatment methods, and pregnancy outcomes.

Results

Among the 42 included women, 47.6% (20/42) had a history of tubal surgery, while 52.4% (22/42) and 47.6% (20/42) received the transfer of 2 and 3 embryos, respectively. In terms of treatment, 21.4% (9/42) women received expectant management, whereas 78.6% (33/42) underwent surgical treatment, with laparoscopic surgery accounting for 71.4% (30/42). Tracking the pregnancy outcomes revealed a live birth rate of 81.0% (34/42) and a full-term birth rate of 50.0% (21/42). The preterm birth rate was 31.0% (13/42), with a breakdown of 1 singleton (7.7%, 1/13) and 12 twin births (92.3%, 12/13) among the total 13 premature deliveries. Among the neonates, 33.3% (14/42) were singletons and 47.6% (20/42) twins. Caesarean section accounted for 31 out of 34 deliveries (91.2%).

Conclusions

Though the incidence of EP in twin pregnancies has declined in the last decade, early diagnosis and proper management are still crucial for favorable outcomes in twin pregnancies with EP.

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42 例宫内双胎妊娠并发异位妊娠的诊断：一项回顾性队列研究

目的：宫内双胎妊娠和异位妊娠（EP）并存，被称为异位妊娠，是一种罕见但可能危及生命的情况。在这项研究中，我们旨在调查辅助生殖技术后宫内双胎妊娠并发异位妊娠的妇女的妊娠结局：这项回顾性研究分析了我院 2005 年 1 月至 2020 年 12 月期间通过超声或手术确诊的 42 例宫内双胎妊娠并发 EP 的妇女的病历。我们收集了患者的一般特征、高危因素、临床症状、超声特征、治疗方法和妊娠结局等数据：结果：在纳入的 42 名妇女中，47.6%（20/42）有输卵管手术史，52.4%（22/42）和 47.6%（20/42）分别移植了 2 个和 3 个胚胎。在治疗方面，21.4%（9/42）的妇女接受了期待治疗，而 78.6%（33/42）的妇女接受了手术治疗，其中腹腔镜手术占 71.4%（30/42）。跟踪妊娠结果显示，活产率为 81.0%（34/42），足月分娩率为 50.0%（21/42）。早产率为 31.0%（13/42），在总共 13 例早产中，有 1 例单胎（7.7%，1/13）和 12 例双胎（92.3%，12/13）。新生儿中，单胎占 33.3%（14/42），双胞胎占 47.6%（20/42）。34例分娩中有31例（91.2%）是剖腹产：尽管双胎妊娠中 EP 的发生率在过去十年中有所下降，但早期诊断和适当处理对于 EP 双胎妊娠的良好预后仍然至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Ultrasound in Medicine 医学-核医学

CiteScore

5.10

自引率

4.30%

发文量

205

审稿时长

1.5 months

期刊介绍： The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community. Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to: -Basic Science- Breast Ultrasound- Contrast-Enhanced Ultrasound- Dermatology- Echocardiography- Elastography- Emergency Medicine- Fetal Echocardiography- Gastrointestinal Ultrasound- General and Abdominal Ultrasound- Genitourinary Ultrasound- Gynecologic Ultrasound- Head and Neck Ultrasound- High Frequency Clinical and Preclinical Imaging- Interventional-Intraoperative Ultrasound- Musculoskeletal Ultrasound- Neurosonology- Obstetric Ultrasound- Ophthalmologic Ultrasound- Pediatric Ultrasound- Point-of-Care Ultrasound- Public Policy- Superficial Structures- Therapeutic Ultrasound- Ultrasound Education- Ultrasound in Global Health- Urologic Ultrasound- Vascular Ultrasound