原发性不孕症体外受精后发生的13周卵巢妊娠：一例报告
Thirteen -weeks ovarian pregnancy following in vitro fertilization for primary infertility treatment: A case report.
作者信息
Ashrafganjoei Tahereh, Nemati Honar Behzad, Defaee Sara
机构信息
Department of Obstetrics and Gynecology, Imam Hussein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Surgery, Imam Hussein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Iran J Reprod Med. 2014 Nov;12(11):779-84.
BACKGROUND
Ovarian pregnancy constitutes 0.15-3% of all ectopic pregnancies. The incidence of ectopic pregnancy is on the rise owing to evolution in assisted reproductive techniques (ART). The incidence reported following In vitro fertilization (IVF) or embryo transfer (ET) is 0.27% per clinical pregnancy.
CASE
We present a case of a 13-weeks ovarian pregnancy following IVF-ET and through a review of the literature, the specific symptomatology, diagnostic criteria, and treatment of this particular pathology will be described.
CONCLUSION
Ovarian pregnancy is a rare condition and its diagnosis is difficult and relies on criteria based on intraoperative and histopathological findings. The management is, in spite of medical improvement, based on surgery. But the trend has shifted towards conservative surgeries in majority of cases.
背景
卵巢妊娠占所有异位妊娠的0.15 - 3%。由于辅助生殖技术（ART）的发展，异位妊娠的发生率呈上升趋势。体外受精（IVF）或胚胎移植（ET）后报道的临床妊娠中异位妊娠发生率为0.27%。
病例
我们报告一例IVF - ET后13周卵巢妊娠的病例，并通过文献回顾描述这种特殊病理情况的具体症状、诊断标准和治疗方法。
结论
卵巢妊娠是一种罕见情况，其诊断困难，依赖于基于术中及组织病理学发现的标准。尽管医学有所进步，但管理仍以手术为主。但在大多数情况下，趋势已转向保守手术。
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