体外受精-胚胎移植术后小网膜囊腹腔妊娠1例报道  

Abdominal pregnancy in the sac of lesser omentum after in vitro fertilization and embryo transfer:a case report

作　　者：贾静辉 陈冰 于梦囡 王红芳 童英 石缨 Jia Jinghui;Chen Bing;Yu Mengnan;Wang Hongfang;Tong Ying;Shi Ying(Department of Obstetrics,Gynecology and Reproductive Medicine,Air Force Medical Center,PLA,Beijing 100142,China;Department of Ultrasonic Diagnosis,Air Force Medical Center,PLA,Beijing 100142,China)

机构地区：[1]空军特色医学中心妇产与生殖医学科,北京100142 [2]空军特色医学中心超声诊断科,北京100142

出　　处：《中华生殖与避孕杂志》2023年第4期404-406,共3页Chinese Journal of Reproduction and Contraception

摘　　要：目的总结体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET)术后发生的小网膜囊腹腔妊娠的临床诊治经验。方法报道1例IVF-ET术后发生的小网膜囊腹腔妊娠病例,并分析其临床特点。结果患者移植2枚囊胚后23 d突发左上腹痛,超声示:宫腔内未见孕囊,左上腹不均质回声,腹腔少量积液。阴道后穹隆穿刺不凝血,有腹腔镜探查指征,术中清理盆腹腔积血后,行小网膜囊妊娠物清除术,术后患者恢复好。结论小网膜囊腹腔妊娠罕见,一旦发现应及时终止妊娠,推荐腹腔镜手术。Objective To summarize the clinical experience in the diagnosis and treatment of abdominal pregnancy in the sac of lesser omentum after in vitro fertilization and embryo transfer(IVF-ET).Methods A case of abdominal pregnancy in the sac of lesser omentum after IVF-ET was reported in detail and summarized,and its clinical characteristics were analyzed.Results After two blastocysts were transplanted 23 d,the patient had a sudden left upper abdominal pain.Ultrasound showed no pregnancy sac in utero,left epigastric dysplasia echo,and a small amount of fluid in the abdominal cavity.Puncture of the posterior vaginal fornix was nonclotting,and there was a clear indication of laparoscopic exploration.After cleaning up the blood in the pelvic and abdominal,the gestational tissue of lesser omentum sac was cleared.The patient recovered well after surgery.Conclusion Abdominal pregnancy in the sac of lesser omentum after IVF-ET is extremely rare and should be treated timely.Laparoscopic surgery is recommended to determinate abdominal pregnancy in the first trimester.

关 键 词：受精 体外 胚胎移植 小网膜囊 腹腔妊娠 早期诊断 腹腔镜手术 

分 类 号：R714.8[医药卫生—妇产科学]