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医源性多胎妊娠原因与防治

发布时间:2018-05-05 16:35

  本文选题:医源性多胎妊娠 + 辅助生殖技术 ; 参考:《中国实用妇科与产科杂志》2015年07期


【摘要】:医源性多胎妊娠(IMP)是指经医疗干预而获得的多胎妊娠。随着辅助生殖技术(ART)的发展,其发生率明显升高。IMP与控制性卵巢刺激的应用及向宫腔内移植多个胚胎有直接关系。多胎妊娠妇女各系统负担加重,妊娠期母儿并发症发生率高、病情重,减胎术是改善妊娠结局的主要手段。从根本上讲,IMP重在预防,应严格掌握超排卵治疗的指征、严格掌握排卵诱导药物的使用和控制移植胚胎数目。
[Abstract]:Iatrogenic multiple pregnancy (IMP) refers to multiple pregnancy obtained by medical intervention. With the development of assisted reproductive technology (ART), the incidence of IMP was significantly increased. IMP was directly related to the application of controlled ovarian stimulation and the transfer of multiple embryos into uterine cavity. The burden of multiple pregnancy systems is increased, the incidence of maternal and fetal complications during pregnancy is high, the disease is serious, the reduction of pregnancy is the main means to improve the outcome of pregnancy. It is essential for IMP to focus on prevention. It is necessary to strictly grasp the indications of hyperovulation therapy, the use of ovulation inducing drugs and the control of the number of embryos transferred.
【作者单位】: 北京大学第三医院妇产科生殖医学中心;
【分类号】:R714.23

【共引文献】

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