中重度卵巢过度刺激综合征临床研究

Ovarian hyperstimulation syndrome in induction of super-ovulation

目的:回顾性分析8例卵巢过度刺激综合征(OHSS)病例资料,提出预防和治疗措施。方法:分析我院2000年1月～2008年1月发生的中重度OHSS病例资料。结果:8例OHSS患者给予人血清白蛋白、放腹水等对症处理和支持治疗,其中1例卵巢囊肿扭转患者行卵巢囊肿穿刺术。8例OHSS患者均治愈出院。结论:OHSS治疗时,白蛋白是扩容的首选,可预防性和治疗用药;适当抽腹腔和胸腔积液以改善循环功能。B超预测双侧卵巢状态,以发现多囊卵巢征象病人,预防和及时发现是治疗OHSS的关键。

Objective： To retrospectively analyze 8 cases data in inducing super-ovulation, and then to sum up the prevention and treatment of ovarian hyperstimulation syndrome. Methods： 8 cases with moderate and sever OHSS were analyzed in our hospital from Januanry 2000 to January 2008. Results： 8 cases received albumin and abdominal paracentesis, One of the cases received vagina needle aspiration for ovarian cysts. 8 cases were hospitalized and monitored. All of them were cured.Conclusion： Albumin should be chose firstly, and albumin can be used for prevention and treatment of OHSS; abdominal and thoracic paracentesis may improved circulation, Patients should be examined by ultrasound to evaluate the PCO signs existing or not. The key to treat OHSS is prevention and diagnosis timely.