| 促排卵后孕16周五胎妊娠减胎1例 |
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| 引用本文： | 黄家佳,滕晓明,孙路明,李昆明,杨颖俊,杨健之.促排卵后孕16周五胎妊娠减胎1例[J].生殖与避孕,2011,31(9):643-645. |
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| 作者姓名： | 黄家佳 滕晓明 孙路明 李昆明 杨颖俊 杨健之 |
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| 作者单位： | 同济大学附属第一妇婴保健院,上海,200040 |
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| 摘 要： | 目的:报道1例门诊促排卵后五胎妊娠减胎术。方法:28岁女性,PCOS史,门诊hMG促排卵治疗,卵泡成熟后注射hCG。自然受孕,孕15周就诊,B超提示五绒毛膜五羊膜囊五胎妊娠,于孕16周在B超引导下,使用脐静脉穿刺针穿刺进入胎心,向2个胎心分别注入100 mg/ml KC1行减胎术,3 d后同法再减一胎。结果:顺利减灭三胎,无不适主诉,无腹痛、阴道出血等。孕36+3周顺产二子,体健。结论:PCOS患者促排卵应采用低剂量FSH,缓慢加量,排卵后应加强随访。减胎术可降低多胎妊娠的不良影响,但更应避免其发生。
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| 关 键 词： | 五胎妊娠 减胎术 PCOS 促排卵 |
Pregnancy Reduction of A Quintuplet Pregnancy Following Ovulation Induction at 16-week Gestation |
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| Jia jia HUANG,Xiao-ming TENG,Lu-ming SUN,Kun-ming LI,Yingjun YANG,Jian-zhi YANG.Pregnancy Reduction of A Quintuplet Pregnancy Following Ovulation Induction at 16-week Gestation[J].Reproduction and Contraception,2011,31(9):643-645. |
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| Authors: | Jia jia HUANG Xiao-ming TENG Lu-ming SUN Kun-ming LI Yingjun YANG Jian-zhi YANG |
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| Institution: | Jia-jia HUANG,Xiao-ming TENG,Lu-ming SUN,Kun-ming LI,Ying-jun YANG,Jian-zhi YANG(Shanghai First Maternity and Infant Hospital,Tongji University School of Medicine,Shanghai,200040) |
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| Abstract: | Objective: To report a case of quintuplet pregnancy reduction following outpatient induction.Methods: A 28-year-old female,who had a history of PCOS,underwent outpatient ovulation induction using hMG.When follicles were mature,hCG was injected.After natural conception,the patient went to clinic at 15-week gestation,and transvaginal ultrasound revealed quintuplet pregnancy.Ultrasound-guided pregnancy reduction was per-formed at week 16.Using umbilical cord puncture needle,two of the fetal hearts were punctur... |
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| Keywords: | quintuplet pregnancy pregnancy reduction PCOS ovulation induction |
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