阴道超声引导下穿刺取卵术后腹腔内出血的临床分析  

Analysis of intraperitoneal bleeding after transvaginal oocyte retrieval

作　　者：鹿群[1] 惠燕[2] 郭延秀 李嘉琪[1] 王辰璁 田莉[1] 沈浣[1] 

机构地区：[1]北京大学人民医院生殖医学中心,100044 [2]三峡大学第一临床医学院&宜昌市中心人民医院

出　　处：《中国妇产科临床杂志》2016年第2期129-131,共3页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的探讨阴道超声引导下穿刺取卵术(简称取卵术)后腹腔内出血的高危因素、诊断及临床转归。方法回顾性分析11例取卵术后腹腔内出血患者的临床资料。结果 11例患者中,5例既往有盆腔手术史,3例取卵手术史,2例异位妊娠保守性治疗史。患者术后均有腹胀、腹痛、乏力,症状出现时间均在术后12h内,平均为(5.91±3.23)h。平均出血量为(1 829.09±673.64)ml。出血量与体质指数、获卵数均无相关性(P>0.05)。出血量与超声下盆腹腔液性暗区无相关性(P>0.05)。11例患者均保守治疗成功。结论盆腔手术史、取卵史和异位妊娠保守治疗史为取卵后腹腔内出血的高危因素。取卵后腹腔内出血多数发生在取卵后12h内。Objective To investigate the risk factors and clinical outcome of intraperitoneal bleeding after transvaginal oocyte retrieval（TVOR）.Methods Retrospective review of records from patients who underwent TVOR between 2011 and 2015.Prevalence,risk factors,diagnosis and prognosis were analyzed on 11 patients who had intraperitoneal bleeding after TVOR.Results Five patients with intraperitoneal bleeding after TVOR had history of surgery,three patients with history of TVOR and two patients with history of conservative treatment for ectopic pregnancy.The first sign of intraperitoneal bleeding after TVOR was abdominal distension,abdominal pain and weakness.The average time for first sign of bleeding was（5.91±3.23）hours,all were within 12 hours.The average of loss was（1 829.09±673.64）ml.There were no correlation between blood volume and BMI,oocyte retrived.Blood volume was also no relationship with the fluid volume under ultrasound.11 patients were treated successfully by conservative method.ConclusionThe history of surgery,TVOR and conservative treatment for ectopic pregnancy was the risk factors of intraperitoneal bleeding after TVOR.The first sign of intraperitoneal bleeding after TVOR appeared within 12 hours.

关 键 词：体外受精-胚胎移植 取卵术 腹腔内出血 

分 类 号：R714.8[医药卫生—妇产科学]