体外受精-胚胎移植后原发腹腔妊娠的3例临床病例报道  

Clinical diagnosis and treatment analysis of 3 cases with primary abdominal pregnancy after in vitro fertilization and embryo transfer

作　　者：谢言信[1] 丁淼[1] 邱绮[1] 赵雅男[1] 潘萍[1] 李予[1] 张清学[1] Xie Yanxin;Ding Miao;Qiu Qi;Zhao Yanan;Pan Ping;Li Yu;Zhang Qingxue(Department of Obstetrics and Gynecology,Sun Yat-Sen Memorial Hospital,Sun Yat-Sen University,Guangzhou 510000,China)

机构地区：[1]中山大学孙逸仙纪念医院妇产科,广州510000

出　　处：《中华生殖与避孕杂志》2020年第8期663-669,共7页Chinese Journal of Reproduction and Contraception

基　　金：中华医学会专项基金-生殖医学青年医师研究与发展项目(17020480717)。

摘　　要：目的探讨体外受精-胚胎移植(IVF-ET)后发生原发性腹腔妊娠的临床诊断及治疗方案。方法本文报道3例中山大学孙逸仙纪念医院收治的IVF-ET后原发性腹腔妊娠病例,并对其诊治进行了讨论。结果3例腹腔妊娠均在术前通过经阴道B超诊断,行腹腔镜下腹腔妊娠物切除,术后人绒毛膜促性腺激素(hCG)水平下降良好。目前1例已通过解冻胚胎移植并获得活产,1例自然妊娠后获得活产。结论IVF-ET术后的原发性腹腔妊娠是极其罕见的异位妊娠,严密监测hCG水平及B超有助于早期诊断,腹腔镜探查并腹腔妊娠物切除是有效的治疗方法。腹腔妊娠的早期诊断及治疗可改善预后。Objective To investigate the clinical diagnosis and treatment of primary abdominal pregnancy after in vitro fertilization and embryo transfer(IVF-ET).Methods This paper reports 3 cases of primary abdominal pregnancy after IVF-ET in Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University,and discusses the diagnosis and treatment.Results All 3 cases of abdominal pregnancy were diagnosed by transvaginal B-ultrasound before operation.Laparoscopic resection of the abdominal cavity pregnancy gas was performed,and the level of postoperative human chorionic hormone(hCG)decreased.Conclusion Primary abdominal pregnancy after IVF-ET is a rare ectopic pregnancy.Close monitoring of hCG level and B-ultrasound are helpful for early diagnosis.Laparoscopic exploration and abdominal pregnancy resection are effective treatments.Early diagnosis and treatment of abdominal pregnancy can improve the prognosis.

关 键 词：受精 体外 胚胎移植 腹腔妊娠 腹腔镜 

分 类 号：R714.8[医药卫生—妇产科学]