辅助生殖技术后异位妊娠82例临床分析  

Analysis of 82 Cases of Ectopic Pregnancy after in Vitro Fertilization and Embryo Transfer

作　　者：李旎[1] 刘风华[1] 龙晓林[1] 张伟良[1] 杜红姿[1] 石宇[1] 

机构地区：[1]广州医学院第三附属医院,广东广州510150

出　　处：《实用妇产科杂志》2010年第5期386-388,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨接受辅助生殖技术(ART)后异位妊娠患者的临床情况及高危因素。方法:对我院2005年1月至2008年10月接受体外受精-胚胎移植(IVF-ET)、卵母细胞内单精子注射(ICSI)、冻融胚胎移植(F-ET)治疗后发生异位妊娠的病例进行回顾性分析。结果:ART治疗5141个周期获临床妊娠1176例的患者中异位妊娠82例,占6.97%(82/1176),其中输卵管妊娠72例,占临床妊娠的6.12%(72/1176),占总异位妊娠的比例为87.8%(72/82)。因输卵管因素行ART共3101周期,发生异位妊娠63例,发生率2.03%(63/3101);非输卵管因素行ART2040周期,发生异位妊娠19例,发生率0.93%(19/2040)。3种ART方式(IVF-ET、ICSI、F-ET)异位妊娠发生率比较,IVF显著高于ICSI和F-ET。结论:输卵管因素是ART后发生异位妊娠的高危因素。Objective：The risk factors of ectopic pregnancy（EP）after assisted reproductive techniques（ART）were explored.Methods：A retrospective review was done on EP after in vitro fertilization and embryo transfer（IVF-ET）,intracytoplasmic sperm injection（ICSI）and frozen-thawing embryo transfer（F-ET）from January 2005 to October 2008.Results：Among the total 1176 clinical pregnancies after 5141 cycles of ART therapy,there were 82 cases of EP（82/1176,6.97%）.Of these EP,there were 72 cases belonging to tubal pregnancies（72/1176,6.12%）which accounted for 87.8%（72/82）of all EP.3101 cycles of ART were done cause of tubal abnormality among these,63 cases had EP（63/3101,2.03%）.2040 cycles of ART were done cause of non tubal factors,19 cases had EP（19/2040,0.93%）.IVF-ET group had the highest occurrence rate of EP than ICSI and F-ET group.Conclusions：Tubal abnormality is the high risk of EP after ART treatment.

关 键 词：辅助生殖技术 异位妊娠 输卵管 

分 类 号：R714.22[医药卫生—妇产科学]