单卵三胎妊娠2例临床结局及文献复习

发布时间：2018-05-04 11:29

  本文选题：单卵三胎妊娠 + 辅助生殖技术　； 参考：《中国实用妇科与产科杂志》2015年05期

【摘要】：正研究报道辅助生殖技术(ART)治疗单卵三胎发生率是自然妊娠的2~12倍[1-3]。单卵三胎形成的具体机制不清,研究认为可能与超促排卵、卵母细胞透明带显微操作及体外培养微环境、囊胚移植等因素相关。单卵三胎妊娠的并发症甚多,包括单卵双胎输血综合征、流产、早产、胎儿畸形等,然而目前其临床处理并无统一原则。本文报道安徽医科大学第一附属医院生殖医学中心自1998年成立以来仅有的2例单绒毛膜单卵三胎妊娠患者,报告其中1例减胎失败的经验及另1例期待疗法的临床结局,并回顾分析相关文献,总结单卵三胎
[Abstract]:It is reported that the incidence of single ovum triplets treated with assisted reproductive technique (ART) is 2 to 12 times higher than that of natural pregnancy [1-3]. The mechanism of the formation of single egg triplets is unclear, which may be related to the factors such as hyperstimulation, micromanipulation of oocyte pellucida, microenvironment of culture in vitro, blastocyst transplantation and so on. There are many complications of single ovum triple pregnancy, including single egg twin transfusion syndrome, abortion, premature delivery, fetal malformation, etc. However, there is no unified principle in clinical management. This paper reports only 2 cases of single chorionic monozygote triplet pregnancy in the Reproductive Medicine Center of the first affiliated Hospital of Anhui Medical University since its establishment in 1998. The experience of one case of fetal failure and the clinical outcome of the other case of expectant therapy are reported. The related literatures were reviewed and summarized.
【作者单位】： 安徽医科大学第一附属医院生殖医学中心;
【分类号】：R714.8

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