辅助生殖技术助孕后卵巢过度刺激综合征合并卵巢扭转一例  

A Case Report of Ovarian Hyperstimulation Syndrome Combined with Ovarian Torsion after Assisted Reproductive Technology Assisted Pregnancy

作　　者：朱海英 齐丹丹 孙平平[1] 孙娜 栾素娴[1] ZHU Hai-ying;QI Dan-dan;SUN Ping-ping;SUN Na;LUAN Su-xian(Reproductive Medicine Center,Weifang People′s Hospital,Weifang 261000,Shandong Province,China)

机构地区：[1]山东省潍坊市人民医院生殖医学中心,261000

出　　处：《国际生殖健康／计划生育杂志》2024年第5期401-405,共5页Journal of International Reproductive Health/Family Planning

摘　　要：随着辅助生殖技术(assisted reproductive technology,ART)的发展,其主要的医源性并发症卵巢过度刺激综合征的出现亦是难以避免的,也进一步增加了卵巢扭转的风险。卵巢过度刺激综合征合并卵巢扭转患者的临床症状及影像学检查等特异度较低,故对该类急腹症的早期识别和诊断比较困难。本文报告1例ART治疗的患者,在取卵前发生卵巢过度刺激综合征合并卵巢扭转,在取卵后保守治疗效果欠佳,最终仍不可避免地需行手术治疗。该案例提示,ART治疗中加强对卵巢过度刺激综合征合并卵巢扭转的认识,对此类急腹症做到早识别、早诊断及早治疗。With the development of assisted reproductive technology(ART),ovarian hyperstimulation syndrome(OHSS)as a main iatrogenic complication is also inevitable,which further increases the risk of ovarian torsion.The clinical symptoms and imaging characteristics of the patient with OHSS combined with ovarian torsion are relatively atypical,which means that the early identification and diagnosis of this acute abdomen is difficult.We report a case of OHSS combined with ovarian torsion before egg retrieval during ART treatment.The conservative treatment after egg retrieval was ineffective,and ultimately surgical treatment was still inevitable.This case suggests that the understanding of OHSS complicated with ovarian torsion should be strengthened during ART treatment,so as to achieve the early identification,early diagnosis and early treatment of this acute abdomen.

关 键 词：卵巢扭转 卵巢过度刺激综合征 生殖技术 辅助 多囊卵巢综合征 病例报告 

分 类 号：R714.8[医药卫生—妇产科学]