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体外受精法治疗不孕症后的异位妊娠

[Ectopic pregnancy after the treatment of infertility by the method of extracorporeal fertilization].

作者信息

Zdanovskiĭ V M, Kechiian K N, Solomatina E V, Anshina M B, Antipov I Iu

出版信息

Akush Ginekol (Mosk). 1990 Jul(7):45-8.

PMID:2240449
Abstract

During October 1987 to June 1989, 609 infertile couples have been treated using in vitro fertilization and embryo transfer (IVF-ET). Of 78 conceptions (15.7% of transferred embryos), 6 (7.7%) pregnancies were ectopic (5 tubal and 1 ovarian). After diagnosis of ectopic pregnancy all the patients were operated; the ovary was resected in 1 patients and tubectomies were done in 5 patients (laparoscopically in 1). All the diagnoses were confirmed histologically. Since prevention of ectopic pregnancy in IVF-ET is not reliable, the patients enrolled for IVF-ET should be considered to be at risk and closely followed up.

摘要

1987年10月至1989年6月期间,609对不孕夫妇接受了体外受精和胚胎移植(IVF-ET)治疗。在78次妊娠(占移植胚胎的15.7%)中,有6例(7.7%)为异位妊娠(5例输卵管妊娠和1例卵巢妊娠)。诊断为异位妊娠后,所有患者均接受了手术;1例患者切除了卵巢,5例患者进行了输卵管切除术(其中1例为腹腔镜手术)。所有诊断均经组织学证实。由于IVF-ET中异位妊娠的预防并不可靠,因此接受IVF-ET治疗的患者应被视为高危人群并进行密切随访。

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