体外受精-胚胎移植术后宫内妊娠合并输卵管间质部妊娠腹腔镜治疗的结局

发布时间：2018-01-28 11:49

本文关键词： 输卵管间质部妊娠腹腔镜体外受精-胚胎移植　出处：《中国微创外科杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨腹腔镜治疗宫内妊娠合并输卵管间质部妊娠的安全性及妊娠结局。方法 2012年1月~2015年1月我院生殖医学中心对因体外受精-胚胎移植术后宫内妊娠合并间质部妊娠6例全麻下行腹腔镜手术,清除腹腔内积血,清除异位妊娠病灶后连续缝合输卵管间质部切口。结果手术时间55~80 min,(63.7±14.2)min。术后2周复查B超均可见宫内妊娠胎心搏动,子宫间质部病灶无明显血流信号。6例随访23~41个月,(31.8±5.9)月,6例均已分娩,无子宫破裂及新生儿畸形发生。结论腹腔镜治疗宫内妊娠合并输卵管间质部妊娠安全有效。
[Abstract]:Objective to study the safety and pregnancy outcome of intrauterine pregnancy combined with tubal interstitial pregnancy by laparoscopy. From January 2012 to January 2015, 6 cases of intrauterine pregnancy complicated with interstitial pregnancy after in vitro fertilization and embryo transfer were treated with laparoscopic surgery under general anesthesia. The interstitial incision of fallopian tube was sutured continuously after clearing ectopic pregnancy focus. Results the operative time was 55 ~ 80 min. 2 weeks after operation, fetal heart pulsation in intrauterine pregnancy was observed by ultrasonography, and no obvious blood flow signal was found in the interstitial lesion of uterus in 6 cases for 23 ~ 41 months. No uterine rupture or neonatal malformation occurred. Conclusion Laparoscopic treatment of intrauterine pregnancy with tubal interstitial pregnancy is safe and effective.
【作者单位】：北京大学第三医院生殖医学中心;
【基金】：首都卫生发展科研专项项目(项目编号:首发2014-1-4091)
【分类号】：R714.23
【正文快照】： 宫内妊娠合并异位妊娠(heterotopic pregnancy,HP)是一种罕见的多胎妊娠,在自然妊娠的发病率为1/30 000~1/7000[1,2]。近年来,随着体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)技术的发展,HP的发生率上升至1.5/1000~1/100[3]。除IVF-ET外,其他公认的HP

【参考文献】