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体外受精--胚胎移植后宫内宫外同时妊娠4例分析
引用本文:裴莉,叶虹,黄国宁,刘冬云. 体外受精--胚胎移植后宫内宫外同时妊娠4例分析[J]. 实用妇产科杂志, 2002, 18(1): 51-52
作者姓名:裴莉  叶虹  黄国宁  刘冬云
作者单位:重庆市妇幼保健院,重庆市生殖与遗传研究所,重庆,400013
摘    要:目的 :探讨体外受精、胚胎移植后宫内宫外同时妊娠的危险因素、诊断及治疗。方法 :回顾性分析 1999年 3月至 2 0 0 1年 3月体外受精—胚胎移植后临床妊娠的 179人中发生宫内宫外同时妊娠的 4例患者。结果 :4例患者在明确诊断后行患侧输卵管切除术 ,术后 3例宫内继续妊娠 ,1例难免流产。结论 :体外受精—胚胎移植后 ,宫内宫外同时妊娠的发生率增加 ,尤其是既往有异位妊娠史及输卵管积水患者。加强 B超监测有助于早诊断、早治疗

关 键 词:宫内宫外同时妊娠  体外受精—胚胎移植  妊娠结局
文章编号:1003-6946(2002)01-051-02
修稿时间:2001-09-28

Heterotopic Pregnancy After in Vitro Fertilization and Embryo Transfer :Clinical Analysis of 4 Cases
PEI Li,Ye Hong,HUANG GUO ning,LIU Dong yun. Heterotopic Pregnancy After in Vitro Fertilization and Embryo Transfer :Clinical Analysis of 4 Cases[J]. Journal of Practical Obstetrics and Gynecology, 2002, 18(1): 51-52
Authors:PEI Li  Ye Hong  HUANG GUO ning  LIU Dong yun
Abstract:Objectives:To investigate the incidence,risk factors and clinical characteristics and treatment methods of heterotopic pregnancy(HP)after IVF ET.Methods:We retrospectively analysed the clinical date of 4 patients with HP after IVF ET.Results:4 patients suffered from salpingectomy after diagnosis.After operation,3 patients of the complicated uterine pregnancy continuted but one patient suffered from inevitable abortion.Conclusion:IVF ET appears to predispose to HP,particylarly after tubal disease and ectopic pregnancy history.Close monitoring by B ultrasound in the early weeks of pregnancy in assisted reproduction patient is important so that we can prevent the deleterious effects of delayed treatent of HP.
Keywords:Heterotopic pregnancy  In vitro fertilization  Pregnancy outcome
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