摘要
目的探讨不孕症合并腹茧症的临床特点及诊治方法。方法回顾分析7例不孕症合并腹茧症的临床资料,患者均因原发性不孕症来本院行拟宫腹腔镜术,术中诊断腹茧症。结果6例患者术后嘱其行辅助生殖助孕,1例患者术后嘱其可试孕,随访至今,只有1例患者曾行胚胎移植术,5例均因个人因素或宫腔因素未行胚胎移植术,均无患者成功受孕。结论腹茧症术前诊断困难,如术前患者无胃肠不适临床症状,术中诊断腹茧症,切勿强行分离粘连以避免导致严重并发症的发生。辅助生殖助孕仍是腹茧症合并不孕症女性患者的首选助孕方式。
Objective To investigate the clinical features,diagnosis and treatment of infertility complicated with abdominal cocoon.Methods The clinical data of 7 cases of infertility complicated with abdominal cocoon were retrospectively analyzed.All patients were treated with pseudouterme laparoscopy for primary infertility.Results 6 patients were ordered to have assisted reproduction after operation,and one patient was ordered to have a pregnancy test after operation.Up to now,only one patient had undergone embryo transfer,and five patients did not undergo embryo transfer due to personal or uterine factors,and none of the patients were successfully conceived.Conclusion The preoperative diagnosis of abdominal cocoon is difficult.If the patient has no clinical symptoms of gastrointestinal discomfort before operation,it is not necessary to forcibly separate the adhesions to avoid the occurrence of serious complications.Assisted reproduction is still the preferred method for pregnant women with abdominal chrysalis complicated with infertility.
作者
刘思曼
林秀
林忠
Liu Siman;Lin Xiu;Lin Zhong(Department of Gynecology,Guangxi Reproductive Hospital,Nanning 530022,China)
出处
《实用妇科内分泌电子杂志》
2022年第7期31-33,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
腹茧症
不孕症
辅助生殖助孕
Abdominal cocoon
Infertility
Assisted reproduction