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椎体骨髓炎:经阴道超声引导下取卵术的一种罕见并发症。

Vertebral osteomyelitis: a rare complication of transvaginal ultrasound-guided oocyte retrieval.

作者信息

Almog B, Rimon E, Yovel I, Bar-Am A, Amit A, Azem F

机构信息

Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Fertil Steril. 2000 Jun;73(6):1250-2. doi: 10.1016/s0015-0282(00)00538-0.

Abstract

OBJECTIVE

To present a case of vertebral osteomyelitis as a complication of transvaginal oocyte retrieval.

DESIGN

Case report.

SETTING

The IVF unit of a university-affiliated hospital.

PATIENT(S): A 41-year-old woman who underwent IVF-ET treatment.

INTERVENTION(S): Standard IVF-ET treatment cycles with the use of transvaginal ultrasound for oocyte retrieval and computed tomography-guided needle aspiration.

MAIN OUTCOME MEASURE(S): Recovery of the patient, sequelae, and recurrence.

RESULT(S): Vertebral osteomyelitis was diagnosed and treated with antibiotics.

CONCLUSION(S): When severe low back pain occurs after ovum retrieval, vertebral osteomyelitis should be considered. Early diagnosis requires a high index of suspicion.

摘要

目的

报告1例经阴道取卵术后并发椎体骨髓炎的病例。

设计

病例报告。

单位

某大学附属医院的体外受精科。

患者

一名接受体外受精-胚胎移植(IVF-ET)治疗的41岁女性。

干预措施

采用经阴道超声引导取卵及计算机断层扫描引导下针吸活检进行标准的IVF-ET治疗周期。

主要观察指标

患者的康复情况、后遗症及复发情况。

结果

诊断为椎体骨髓炎并给予抗生素治疗。

结论

取卵术后出现严重腰痛时,应考虑椎体骨髓炎。早期诊断需要高度的怀疑指数。

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