B超导向穿刺卵泡破泡排卵伴妊娠6例报告

Pregnancy after Inducing Ovulation by Puncture under B Ultrasound Guidance(a Report of 6 Cases )

本文报道６例不孕患者经ＨＭＧ＋ＨＣＧ诱发排卵过程中，出现卵泡过大而不排出或卵巢过度刺激综合症，在Ｂ超引导下经腹壁穿刺卵泡破泡排卵全部怀孕。其中２例卵巢过激病例，经穿刺卵泡抽液减压，使过激症状缓解并怀孕，但以后又发生流产；其余４例在诱发排卵４８小时后，双侧卵巢发现多个增大卵泡但均＜３．５ｃｍ，在穿刺破泡后发生双胎妊娠２例，３胎及单胎各１例。全组６人共妊娠１１个胎儿，分娩８个．流产３个。结果显示：Ｂ超导向卵泡穿刺法，对卵泡过大不排，或卵巢过度刺激综合症患者是一种人工破泡排卵及治疗卵巢过激综合症的有效方法。文章对如何掌握穿刺卵泡的时限及有关多胎的处理等问题提出了讨论。

Six infertility and amenorrhea patients who accepted HMG and HCG to induce ovulation. In the course of treatment,the follicles of some patients were over large and the other patients suffered ovarian hyperstimulation syndrome(OHSS). We induced ovulation by puncturing follile under Bmode ultrasound guidance,all the patients concepted. The symptoms were released and concepted in 2 cases with OHSS after injecting and drawing follicle fluid, but they all aborted. The other 4 cases 48 hours after administered HCG many enlarged follicles were found in both ovaries,but they were less than 3. 5 cm in diameter. After puncturing follicle under ultrasound guidance, 2 cases concepted with twins, 1 case with triple fetuses and 1 case with single fetus, There were 11 fetuses in this group, of which 8 cases were full term dilivery. 2 was aborted. The results showed that puncturing enlarged follicle .to induce ovalution and to give relief of OHSS symptoms under sonograph guidance is an effective method. The paper also discussed the puncture time and other problems.