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卵巢过度刺激综合征患者胚胎移植后异位妊娠5例临床分析 被引量：2

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摘要 目的:探讨卵巢过度刺激综合征(OHSS)患者体外受精-胚胎移植(IVF-ET)后异位妊娠(EP)的发生率、诊断与治疗。方法:对我院OHSS行IVF-ET后发生的5例EP病例进行回顾性分析。结果:OHSS患者IVF-ET后EP发生率2.06%(5/243),5例患者均为重度OHSS,其中1例为卵巢妊娠;另4例为宫内外同时妊娠(HP),宫外均为输卵管妊娠。非OHSS患者IVF-ET后EP发生率4.83%(120/2482)。卵巢妊娠术前误诊为输卵管妊娠,1例输卵管妊娠延误诊断直至破裂出现低血容量休克,1例肠胀气明显致输卵管妊娠诊断延误,1例输卵管妊娠误诊为卵巢破裂出血。所有患者术后OHSS症状明显缓解,3例宫内妊娠正常发育,1例稽留流产。结论:OHSS患者IVF-ET后EP发生率低于非OHSS患者EP发生率。OHSS因腹水及增大卵巢干扰,EP容易误诊或延误诊断。一旦发现OHSS患者IVF-ET后EP或HP,应及时手术治疗。
作者 张林 郭丽萍 钟影 汤本才
机构地区 成都市锦江区妇幼保健院
出处 《实用妇产科杂志》 CAS CSCD 北大核心 2013年第12期945-948,共4页 Journal of Practical Obstetrics and Gynecology
关键词 卵巢过度刺激综合征 异位妊娠 体外受精-胚胎移植
分类号 R711.75 [医药卫生—妇产科学]
  • 相关文献

参考文献12

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二级参考文献20

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实用妇产科杂志
2013年 第12期

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