体外受精——胚胎移植后宫内宫外同时妊娠4例分析  

Heterotopic Pregnancy After in Vitro Fertilization and Embryo Transfer:Clinical Analysis of 4 Cases

作　　者：裴莉[1] 叶虹[1] 黄国宁[1] 刘冬云[1] 

机构地区：[1]重庆市妇幼保健院重庆市生殖与遗传研究所,重庆400013

出　　处：《实用妇产科杂志》2002年第1期51-52,共2页Journal of Practical Obstetrics and Gynecology

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。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.

关 键 词：宫内宫外同时妊娠 体外受精 胚胎移植 妊娠结局 诊断 治疗 病例分析 

分 类 号：R332-33[医药卫生—人体生理学]