摘要
目的:报道1例门诊促排卵后五胎妊娠减胎术。方法:28岁女性,PCOS史,门诊hMG促排卵治疗,卵泡成熟后注射hCG。自然受孕,孕15周就诊,B超提示五绒毛膜五羊膜囊五胎妊娠,于孕16周在B超引导下,使用脐静脉穿刺针穿刺进入胎心,向2个胎心分别注入100 mg/ml KC1行减胎术,3 d后同法再减一胎。结果:顺利减灭三胎,无不适主诉,无腹痛、阴道出血等。孕36+3周顺产二子,体健。结论:PCOS患者促排卵应采用低剂量FSH,缓慢加量,排卵后应加强随访。减胎术可降低多胎妊娠的不良影响,但更应避免其发生。
Objective: To report a case of quintuplet pregnancy reduction following outpatient induction.Methods: A 28-year-old female,who had a history of PCOS,underwent outpatient ovulation induction using hMG.When follicles were mature,hCG was injected.After natural conception,the patient went to clinic at 15-week gestation,and transvaginal ultrasound revealed quintuplet pregnancy.Ultrasound-guided pregnancy reduction was per-formed at week 16.Using umbilical cord puncture needle,two of the fetal hearts were punctured,and 100 mg/ml KCl was injected into these two fetal hearts,respectively.Three days later,one more fetus was reduced using the same method.Results: Triplets were terminated successfuliy,and the patient had no main complaint,with no abdominal pain or vaginal bleeding,etc.Two healthy boys were delivered by natural labor at 36+3-week gestation.Conclusion: Ovulation induction in PCOS patients should use low dose FSH,and increase this dose slowly.After ovulation,more attention shoud be paid to follow-up.Pregnancy reduction can diminish the undesirable effects of high-order multiple pregnancy,more importantly,we should avoid the incidence of multiple pregnancy.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2011年第9期643-645,共3页
Reproduction and Contraception
关键词
五胎妊娠
减胎术
PCOS
促排卵
quintuplet pregnancy
pregnancy reduction
PCOS
ovulation induction