辅助生殖技术使用后急性尿潴留。2例报告。
Acute urinary retention after use of assisted reproductive technology. A report of 2 cases.
作者信息
Chen Yi-Jen, Chang Sheng-Ping, Yuan Chiou-Chung, Chuang Tien-Yow, Yu Ken-Jen, Wang Peng-Hui
机构信息
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, National Yang-Ming University School of Medicine, Taipei, Taiwan.
出版信息
J Reprod Med. 2003 Jul;48(7):560-2.
BACKGROUND
Urinary retention in women is an unusual occurrence. Various conditions can cause it, including surgery, childbirth, pelvic masses, procidentia, vulva hematoma, incarceration of a gravid uterus, urologic disease, neurogenic disease and psychiatric disorders.
CASES
Two infertile women underwent assisted reproductive technology (ART) and luteal-phase support during which acute urinary retention occurred. The patients were evaluated by means of physical examination, urodynamic study and determination of serum progesterone levels. Bladder distention was found during luteal-phase support. Urodynamic studies revealed detrusor areflexia. Serial serum progesterone levels were > 100 ng/mL.
CONCLUSION
Cases of acute urine retention during luteal-phase support are rarely reported. Urine retention should be considered in the differential diagnosis when abdominal pain occurs after patients undergo ART. Transient elevation of the progesterone level may be the cause of the acute urine retention.
背景
女性尿潴留并不常见。多种情况可导致尿潴留，包括手术、分娩、盆腔肿块、子宫脱垂、外阴血肿、妊娠子宫嵌顿、泌尿系统疾病、神经源性疾病及精神障碍。
病例
两名不孕女性接受辅助生殖技术（ART）及黄体期支持治疗，期间发生急性尿潴留。通过体格检查、尿动力学研究及血清孕酮水平测定对患者进行评估。在黄体期支持治疗期间发现膀胱膨胀。尿动力学研究显示逼尿肌无反射。血清孕酮水平系列检测结果>100 ng/mL。
结论
黄体期支持治疗期间发生急性尿潴留的病例鲜有报道。接受ART治疗的患者出现腹痛时，鉴别诊断应考虑尿潴留。孕酮水平短暂升高可能是急性尿潴留的原因。
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