体外受精-胚胎移植术后宫角妊娠合并宫腔粘连1例病例报告与文献回顾

A case of an angular pregnancy with serious intrauterine adhesion resulting a live baby after in vitro fertilization and embryo transfer treatment

目的介绍1例行体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)、出现宫角妊娠合并宫腔粘连并成功活产的病例。方法对本院1例重度宫腔粘连分解术后行IVF-ET病例发生宫角妊娠合并宫腔粘连的临床资料进行分析,并对相关文献进行系统性回顾。结果该病例于孕36+3周行子宫下段剖宫产术,成功活产一男婴。结论宫角妊娠是可能危及生命的妇产科急症,但对于妊娠困难的患者,严密监测及期待治疗可获得良好的妊娠结局。

ObjectiveTo report a rare case of an angular pregnancy with serious intrauterine adhesion resulting a live baby after in vitro fertilization and embryo transfer （IVF-ET） treatment.MethodsThe clinical materials from one case with angular pregnancy and serious intrauterine adhesion after IVF-ET was retrospectively analyzed, and associated literatures were reviewed.ResultsThe patient underwent low-segment cesarean section at 36＋3 weeks of gestation and acquired a live baby.ConclusionGiven the seriousness of normal uterus to rupture, angular pregnancy management considerations might potentially include therapeutic abortion. Alternatively, depending on the degree of desirability of the pregnancy and the risk aversity levels of the gynecologist and patient, ＂watchful waiting＂ may be elected.