| 体外受精-胚胎移植后宫内外同时妊娠14例分析 |
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| 引用本文： | 林云俊,李超,林小娜. 体外受精-胚胎移植后宫内外同时妊娠14例分析[J]. 全科医学临床与教育, 2011, 9(5): 530-533 |
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| 作者姓名： | 林云俊 李超 林小娜 |
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| 作者单位： | 1. 杭州市红十字会医院妇产科,浙江杭州,310003
2. 浙江大学医学院附属邵逸夫医院妇产科生殖中心 |
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| 摘 要： | 目的分析体外受精-胚胎移植(IVF-ET)术后,宫内宫外同时妊娠的好发因素、诊治及预后。方法回顾性分析接受IVF-ET治疗后的14例宫内宫外同时妊娠病例。结果 14例病例中8例有明显的盆腔炎性疾病史、1例盆腔炎性疾病史伴有双角子宫、3例盆腔炎并伴有男方畸精症、1例为男方无精症、1例为稀发排卵及男方少弱精症。14患者均B超提示宫内外同时妊娠,其中10例腹腔镜下患侧输卵管切除术、1例开腹行输卵管切除术、2例宫角妊娠分别行腹腔镜下及开腹宫角切开取胚+修补术、1例剖腹行患侧输卵管切除。术后9例宫内继续妊娠,5例宫内妊娠自然流产。结论盆腔炎性疾病是IVF-ET后宫外同时妊娠发生的主要原因;超声检查是最有效的诊断方法,及早治疗可明显改善预后;腹腔镜下输卵管切除术可能是治疗宫外同时妊娠的最佳方法。
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| 关 键 词： | 体外受精-胚胎移植 宫内宫外同时妊娠 腹腔镜手术 |
Clinical analysis of heterotopic pregnancy after in vitro fertilization and embryo transfer in 14 cases |
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| LIN Yunjun,LI Chao,LIN Xiaona. Clinical analysis of heterotopic pregnancy after in vitro fertilization and embryo transfer in 14 cases[J]. clinical education of general practice, 2011, 9(5): 530-533 |
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| Authors: | LIN Yunjun LI Chao LIN Xiaona |
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| Affiliation: | LIN Yunjun,LI Chao,LIN Xiaona.Department of Gynecology and Obstetrics,Red Cross Hospital of Hangzhou,Hangzhou 310003,China |
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| Abstract: | Objective To analyze the prevalence rate,diagnosis,treatment,prognosis of heterotopic pregnancy(HP) after in vitro fertilization and embryo transfer(IVF-ET).Methods The clinical data of 14 patients diagnosed HP after IVF-ET were reviewed.Results Eight cases had history of tubal or chronic pelvic inflammation.One case had chronic pelvic inflammation and bicornuate uterus.Three cases had chronic pelvic inflammation and oligozoo-spermia.One case had azoospermia.One case had oligo-ovulation and oligozoo-spermia... |
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| Keywords: | in vitro fertilization and embryo transfer heterotopic pregnancy laparoscopy |
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