不孕症合并腹茧症行体外受精-胚胎移植3例临床分析

In vitro fertilization and embryo transfer in 3 infertile patients with abdominal cocoon

目的分析不孕症合并腹茧症行体外受精-胚胎移植治疗过程。方法回顾性分析3例不孕症合并腹茧症患者的临床资料及随访结果。结果 3例均行体外受精-胚胎移植技术助孕治疗,1例因不全肠梗阻取消胚胎移植行冻融胚胎移植1次,失败;2例患者胚胎移植成功,获临床妊娠,其中1例治疗过程中发生卵巢过度刺激综合征,经对症治疗足月分娩,另1例宫内妊娠合并间质部妊娠,中孕期流产。结论不孕症合并腹茧症行体外受精-胚胎移植治疗的并发症风险较大。

Objective To investigate the characteristics and precautions of in vitro fertilization and embryo transfer(IVF-ET)for infertile patients with abdominal cocoon.Methods The clinical data and follow-up results of 3 infertile patients with abdominal cocoon receiving IVT-ET were retrospectively analyzed.Results In three patients receiving IVF-ET,one patient was cancelled embryo transfer due to incomplete intestinal obstruction and got no pregnancy after frozen-thawed embryo transfer,two patients got pregnancy after embryo transfer,in which one patient got full-term delivery after symptomatic treatment of ovarian hyperstimulation syndrome,and the other one got miscarriage in the second trimester due to intrauterine and tubal interstitial pregnancy.Conclusion The infertile patients with abdominal cocoon have a high risk for the complications of IVF-ET.