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[枸橼酸氯米芬与泼尼松诱导排卵后发生的异位妊娠。病例报告]

[Heterotopic pregnancy following ovulation induction by clomiphene citrate and prednisone. Report of a case].

作者信息

Tellez Velasco S, Vital Reyes V S, Rosales de la Rosa D, Hinojosa Cruz J C, Reyes Fuentes A

机构信息

Servicio de Biología de la Reproducción y Ginecoendocrinología Hospital De Ginecobstetrica 3, Centro Medico Nacional La Raza, Instituto Mexicano del Seguro Social, México, D.F.

出版信息

Ginecol Obstet Mex. 1999 Jan;67:1-3.

Abstract

Heterotopic pregnancy (HP) is a very rare pathologic event. The incidence of ectopic pregnancy has increased as the consequence of assisted reproduction and the wider use of ovulation induction agents. The diagnosis of HP is frequently done not as earlier as it should be, and it has serious repercussions. The concept of screening, to find relevant rise factors and the correct diagnosis of HP should be pursued as early as possible. In this report we describe an unusual case of a female patient with therapeutic failure to clomiphene citrate. She was treated with two cycles of combined clomiphene citrate and prednisone, and ovulation induction assent. The after she developed HP. Overall, we conclude that the possible association observed could be an accident. The land of investigation is open, to fill cover. The holes on understanding that we still have.

摘要

异位妊娠(HP)是一种非常罕见的病理事件。由于辅助生殖技术的应用和促排卵药物的广泛使用,异位妊娠的发生率有所上升。HP的诊断往往不够及时,会产生严重后果。应尽早推行筛查概念,以发现相关的上升因素并正确诊断HP。在本报告中,我们描述了一例对枸橼酸氯米芬治疗无效的女性患者的罕见病例。她接受了两个周期的枸橼酸氯米芬与泼尼松联合治疗以及促排卵同意治疗。之后她发生了HP。总体而言,我们得出结论,观察到的可能关联可能是一种偶然情况。调查领域有待进一步填补空白,以弥补我们仍存在的认知漏洞。

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