体外受精-胚胎移植术后宫内外同时妊娠32例临床分析

发布时间：2018-02-24 20:05

本文关键词： 宫内外同时妊娠发生率危险因素诊断治疗预后　出处：《现代妇产科进展》2017年06期 　论文类型：期刊论文

【摘要】：目的:探讨宫内外同时妊娠(HP)的发生率、危险因素、诊断、治疗方式及预后。方法:回顾分析2013年1月至2015年12月南京大学医学院附属鼓楼医院妇产科收治的32例HP患者的临床资料。结果:我院体外受精-胚胎移植(IVF-ET)术后HP的发生率为1.54%(32/2076);HP患者均行IVF-ET,且均移植胚胎两枚,合并输卵管疾病者占71.88%(23/32);经阴道超声诊断正确率为84.38%(27/32);29例要求保留宫内妊娠,患者的保胎成功率为82.76%(24/29),其中保守治疗、减胎治疗、腹腔镜手术、开腹手术保胎成功率分别为80.00%(4/5)、100%(3/3)、83.33%(5/6)、80.00%(12/15);各种治疗方法的保胎成功率无统计学差异(P0.05)。结论:输卵管病变、IVF-ET是HP的主要危险因素;经阴道超声对诊断有意义;手术治疗是主流的治疗方法;HP患者预后较好。
[Abstract]:Objective: to investigate the incidence, risk factors and diagnosis of simultaneous intrauterine pregnancy with HPs. Methods: the clinical data of 32 patients with HP treated in gynecology and obstetrics department of Gulou Hospital affiliated to Medical College of Nanjing University from January 2013 to December 2015 were retrospectively analyzed. Results: IVF-ETT was performed in our hospital. The incidence of post HP was 1.54 / 2076% HP patients were treated with IVF-ETS and two embryos were transferred. The correct rate of diagnosis by transvaginal ultrasound was 84.38% and 27 / 32% respectively. The success rate of fetal preservation was 82.76% 24 / 29%, among which conservative treatment, minimization treatment, laparoscopic surgery, The success rate of oviductal operation was 80.005 / 50.The success rate of oviductal surgery was 83.33 / 83.33 / 80.0012 / 15, respectively. There was no significant difference in the success rate of various treatment methods (P 0.05). Conclusion: IVF-ET is the main risk factor for HP, transvaginal ultrasound is of significance in diagnosis of HP, IVF-ET is the main risk factor for HP, and transvaginal ultrasound is of great significance in diagnosis of HP, and there is no significant difference in the success rate of fetal preservation in all kinds of treatment methods (P < 0.05). Surgical treatment is the mainstream treatment of HP patients with better prognosis.
【作者单位】：南京大学医学院附属鼓楼医院妇产科;
【分类号】：R714.8

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