A clinical analysis of 4 cases of heterotopie pregnancy(HP) after in vitro fertilization and embryo transfer(IVF-ET)
-
摘要:
目的 报告胚胎移植术后宫内外复合妊娠 4 例，并分析该病例发生的原因、临床表现、诊治方法及减少该病例发生的措施。 方法 通过 4 例青年女性因不孕行胚胎移植术后导致宫内外复合妊娠的临床病例分析。 结果 4 例青年女性均通过完善相关检查后行腹腔镜检术行病灶清除或切除患侧输卵管。术后病检均证实宫外妊娠，宫内予以保胎治疗后目前产检均正常。 结论 现因不孕行胚胎移植术后发生宫内外复合妊娠的几率呈明显上升趋势，需临床警惕其发生及避免误诊、提高预后率。 Abstract:Objective To report four cases of heterotopie pregnancy(HP) after in vitro fertilization and embryo transfer(IVF-ET); analysis the causes,clinical manifestations; and explore diagnosis and treatment measures. Methods The clinical data of 4 young women with HP who underwent IVF-ET were analyzed. Results All the four women were treated with lesionectomy and salpingectomy for sicked tube under laparoscopy. Ectopic pregnancy were diagnosed by postoperative pathologic examination. And now they have normal check-ups after the intrauterine tocolytic therapy. Conclusion The chance of heterotopie pregnancy after in vitro fertilization and embryo transfer due to infertility is rising,we should be alert to its occurrence; avoid misdiagnosis,and improve prognosis. -
[1] Tal J, Haddad S, Gordon N, et al. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993[J]. Fertil Steril, 1996, 66(1): 1-12. doi: 10.1016/S0015-0282(16)58378-2 [2] 程春霞, 徐大宝. 胚胎移植后宫内双胎合并异位妊娠一例分析[J]. 中华妇产科杂志, 2004, 39(7): 490-1. http://www.cnki.com.cn/Article/CJFDTOTAL-ZHFC200407017.htm [3] 杨敏. 宫内宫外复合妊娠3例临床分析[J]. 现代妇产科进展, 2013,22(1): 75-6. http://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201008037.htm [4] Abu-Musa A, Nassar A, Sakhel K, et al. Two consecutive ectopic pregnancies after in vitro fertilization and embryo transfer. Case report [J]. Clin Exp Obstet Gynecol, 2002, 29(4): 302-3. [5] Ian S, Tumm OM. Nancy a etal1transferring more embryo increase risk of hetero topic pregnancy1[J]. Fert ilSteri, 1994, 66(5): 1065. [6] Marcus S. B rinsden P1Analysis of the incidence and risk factors associated with ectopic pregnancy following in vitro fertilization and embryo transfer1Hum[J]. Rep rod, 1995, 10(1): 195. [7] Pop EC, Cook EK. Amy Met a l1 influence of embryo transfer depth on in vitro fertilization and embryo transfer outcomes[J].2004, 81(1): 51. [8] Pschera H, Gatterer A. Laparoscopic management of heterotopic pregnancy: a review[J]. J Obstet Gynaecol Res, 2000, 26(3): 157-61. doi: 10.1111/jog.2000.26.issue-3 [9] Breyer MJ, Costantino TG. Heterotopic gestation: another possibility for the emergency bedside ultrasonographer to consider[J]. J Emerg Med, 2004, 26(1): 81-4. doi: 10.1016/j.jemermed.2003.06.004 [10] Tal J, Haddad S, Gordon N, et al. Heterotopic pregnancy after ovulation induction and assisted reproductive technologies: a literature review from 1971 to 1993[J]. Fertil Steril, 1996, 66(1): 1-12. doi: 10.1016/S0015-0282(16)58378-2 -
点击查看大图
计量
- 文章访问数: 515
- HTML全文浏览量: 185
- PDF下载量: 1
- 被引次数: 0
下载:
