胚胎移植后发生宫内外复合妊娠采用不同手术方式治疗的临床分析  

Analysis of Heterotopic Pregnancies after Embryo Transfer Treated by Different Surgical Methods

作　　者：乔洪武[1] 李静[1] 王兴玲[1] 管一春[1] QIAO Hongwu;LI Jing;WANG Xingling(Reproductive Centre,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou,450052)

机构地区：[1]郑州大学第三附属医院生殖中心,郑州450052

出　　处：《航空航天医学杂志》2021年第7期771-772,共2页Journal of Aerospace medicine

摘　　要：目的探讨体外受精-胚胎移植(IVF-ET)后发生宫内外复合妊娠(HP)的相关因素及采用不同手术方式治疗的妊娠结局。方法回顾性分析2007年1月-2018年12月通过IVF-ET妊娠后发生HP的患者资料,共66例,分为两组:开腹手术组36例,腹腔镜手术组30例,分析不同手术方式治疗的妊娠结局。结果开腹手术组和腹腔镜手术组的平均年龄无显著性差异(P=0.497);开腹手术组和腹腔镜手术组的足月产率、早产率和流产率均无显著性差异(P>0.05)。结论临床医生应重视胚胎移植后发生宫内外复合妊娠的患者,早期发现和及时治疗,开腹手术和腹腔镜手术仍然是HP患者保持宫内妊娠继续发育的首选治疗手段,且均可获得良好的妊娠结局。Objective To explore the related factors of heterotopic pregnancies(HP) after in vitro fertilization-embryo transfer(IVF-ET) and the pregnancy outcome of different surgical treatments. Methods Retrospective analysis was conducted on the data of 66 patients with HP after pregnancy who received IVF-ET technology in the Reproduction Center of the Third Affiliated Hospital of Zhengzhou University from January 2007 to December 2018, and they were divided into two groups: laparotomy group(n=36) and laparoscopic surgery group(n=30). Results There was no significant difference in the average age between the laparotomy group and the laparoscopic surgery group(P=0.497);and there was no significant difference in the term birth rate, preterm birth rate, and miscarriage rate between the two groups(P>0.05). Conclusions Clinicians should pay attention to patients with HP after embryo transfer, early detection and timely treatment, laparotomy and laparoscopic surgery are still the first choice for HP patients to maintain intrauterine pregnancy, and both of them had good clinical outcomes.

关 键 词：体外受精-胚胎移植 宫内外复合妊娠 腹腔镜手术 

分 类 号：R714.2[医药卫生—妇产科学]