自身免疫性疾病合并不孕症的患者管理专家共识(2024年)

Expert consensus on autoimmune diseases and infertility management(2024)

自身免疫性疾病(autoimmune diseases,AIDs)患者助孕和妊娠均面临较大的风险,对AIDs患者在助孕和围妊娠期时进行规范化管理,对降低助孕和妊娠不良风险至关重要。本共识对常见的AIDs及自身抗体与不孕症的关系、AIDs如何影响妊娠、妊娠如何影响AIDs病情、如何为AIDs合并不孕症的患者提供孕前咨询、AIDs合并不孕症患者辅助生育过程中如何使用抗凝药物几个方面进行了分析总结,旨在为多学科合作共同管理AIDs及自身抗体阳性合并不孕症的患者提供借鉴。

Patients with autoimmune diseases(AIDs)face greater risks in assisted reproductive treatment and gestation.Standardized management of AID patients during the assisted reproduction and peri pregnancy period is crucial for reducing the AID assisted pregnancy risk and improving the outcome.This consensus analyzes and summarizes the relationship between several common AIDs and auto-antibodies and infertility,how AIDs affect pregnancy,how pregnancy affects AIDs'condition,how to provide preconception consultation for patients with AIDs and infertility,and how to use antithrombotic drugs in the assisted reproduction process of AID patients with infertility.It aims to provide a reference for multidisciplinary cooperation in the management of patients with AIDs and autoantibody positive and infertility.