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经腹腔镜治疗胚胎移植术后子宫内-输卵管间质部#br#同时妊娠患者5例
引用本文:潘琼,薛敏,曙光. 经腹腔镜治疗胚胎移植术后子宫内-输卵管间质部#br#同时妊娠患者5例[J]. 中南大学学报(医学版), 2016, 41(11): 1237-1240. DOI: 10.11817/j.issn.1672-7347.2016.11.021
作者姓名:潘琼  薛敏  曙光
作者单位:中南大学 1.湘雅三医院妇产科;2.基础医学院,长沙410013
摘    要:回顾性分析2012年1月至2015年1月在中南大学湘雅三医院接受腹腔镜手术治疗的5例胚胎移植术后子宫内-输卵管间质部同时妊娠(interstitial heterotopic pregnancy,IHP)患者的临床资料。5例患者均在腹腔镜下成功切除患侧输卵管间质部妊娠病灶及输卵管,无1例中转开腹,术中无重大并发症,术后随访均成功分娩。提示对希望继续宫内妊娠的IHP患者,采用腹腔镜技术治疗是安全可行的,其具有术中损伤小、出血少,术后恢复快、并发症少,对宫内妊娠干扰小等优点。

关 键 词:子宫内-输卵管间质部同时妊娠  宫内外同时妊娠  体外受精-胚胎移植  腹腔镜  手术  

Five cases of interstitial heterotopic pregnancy after IVF-ET treated by laparoscopic surgery
PAN Qiong,XUE Min,SHU Guang. Five cases of interstitial heterotopic pregnancy after IVF-ET treated by laparoscopic surgery[J]. Journal of Central South University. Medical sciences, 2016, 41(11): 1237-1240. DOI: 10.11817/j.issn.1672-7347.2016.11.021
Authors:PAN Qiong  XUE Min  SHU Guang
Affiliation:1. Department of Obstetrics & Gynecology, Third Xiangya Hospital;
2. Basic Medical College, Central South University, Changsha 410013, China
Abstract:To evaluate the efficency and safety of laparoscopic surgery in the treatment of interstitial heterotopic pregnancy (IHP) after IVF-ET, five patients with interstitial heterotopic pregnancy after IVF-ET treated by laparoscopy in our hospital from Jan. 2012 to Jan. 2015 were retrospectively analyzed. All operations were finished laparoscopically without any major complications and they successfully delivered. The results suggest that laparosccpic surgery is feasible and safe for IHP to maintain the trauterine pregnancy, and it can diagnose and treat IHP at early stage, which cause mininmal injuries and less disturbance to trauterine pregnancy and ensure rapid recovery.
Keywords:interstitial heterotopic pregnancy  heterotopic pregnancy  in vitro fertilization and embryo transfer  laparoscopic  surgery  
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