IVF-ET后宫内外同时妊娠的结局分析

发布时间：2018-01-24 03:53

本文关键词： 宫内外同时妊娠腹腔镜开腹手术保守观察 IVF-ET　出处：《现代妇产科进展》2017年02期 　论文类型：期刊论文

【摘要】：目的:探讨体外受精-胚胎移植(IVF-ET)后宫内外同时妊娠(HP)的结局。方法:回顾分析于山东大学生殖医学研究中心治疗的IVF-ET后出现HP的52例患者的临床资料,将足月分娩及早产视为宫内妊娠成功。按治疗方法分为手术组(n=31)、期待组(n=21)。手术组分为腹腔镜手术组(n=23)和开腹手术组(n=8)。期待治疗组中6例在观察过程中因出现明显手术指征转行腹腔镜手术,归为期待转腹腔镜手术组(n=6)。结果:手术组与期待组的宫内妊娠成功率比较,差异无统计学意义(P0.05)。腹腔镜组与开腹手术组、期待转腹腔镜组的宫内妊娠成功率比较,差异无统计学意义(P0.05)。结论:HP患者如无症状或症状轻微可暂不处理,密切观察病情变化,出现明显手术指征时再采取手术治疗,腹腔镜与开腹手术治疗后宫内妊娠成功率无明显差异。
[Abstract]:Objective: to investigate the HPs of intrauterine and extrauterine pregnancy after IVF-ETT). Methods: the clinical data of 52 patients with HP after IVF-ET treated by Center of Reproductive Medicine of Shandong University were analyzed retrospectively. Term delivery and preterm delivery were regarded as success of intrauterine pregnancy. The patients in the expectant group were divided into two groups: laparoscopy group (n = 23) and open operation group (n = 8). In the expectant treatment group, 6 cases underwent laparoscopic surgery due to obvious indications of operation. Results: there was no significant difference in the success rate of intrauterine pregnancy between the operation group and the expectant group (P 0.05). There was no significant difference in the success rate of intrauterine pregnancy in the laparoscopy group. Conclusion if the patients with HP have no symptoms or mild symptoms, they may not be treated for a while, and the changes of the condition can be observed closely. There was no significant difference in intrauterine pregnancy success rate between laparoscopy and laparotomy.
【作者单位】：山东大学生殖医学研究中心国家辅助生殖与优生工程技术研究中心生殖内分泌教育部重点实验室;山东省警官总医院妇产科;
【基金】：山东省计划生育科学技术发展计划项目(鲁卫科教合作字[2014]25号)
【分类号】：R714.8
【正文快照】： 宫内外同时妊娠(heterotopic pregnancy,HP)是指两个或多个胚胎在生殖系内的不同部位同时发育,其中至少一个属于宫内正常妊娠,其余均为异位妊娠(ectopic pregnancy,EP),是一种病理状态。近年随着辅助生殖技术(assisted reproductive tech-niques,ART),尤其是体外受精-胚胎移植

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