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成功运用腹腔镜处理胚胎移植后的罕见并发症:卵巢妊娠。病例报告及最新文献综述

Successful laparoscopic management of a rare complication after embryo transfer: ovarian pregnancy. A case report and up-to-date literature review.

作者信息

Aydin Turgut, Yucel Burak, Aksoy Huseyin, Ekemen Suheyla

机构信息

Assisted Reproduction Unit, Acibadem Hospital, Kayseri, Turkey.

Department of Obstetrics and Gynecology, Military Hospital, Kayseri, Turkey.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2016 Jan;10(4):574-9. doi: 10.5114/wiitm.2015.55893. Epub 2015 Nov 27.

Abstract

Ovarian pregnancy (OP) after embryo transfer is very rare. Due to the rarity and the asymptomatic nature, there are still difficulties in diagnosis and treatment. The traditional operative treatment for OP has been oophorectomy. However, the desire to maintain reproductive capability and improvements in laparoscopy have more recently led to conservative laparoscopic techniques. This rare complication could be diagnosed early and managed by a conservative laparoscopic approach. Here we present a survey of the literature and a case of successful laparoscopic management of ovarian pregnancy after intracytoplasmic sperm injection and embryo transfer. The current case is the first case in the literature in which ovarian pregnancy occurred after a single embryo transfer. We also summarize the literature about management of ovarian pregnancy after embryo transfer.

摘要

胚胎移植后发生卵巢妊娠(OP)非常罕见。由于其罕见性和无症状性,在诊断和治疗方面仍存在困难。OP的传统手术治疗方法一直是卵巢切除术。然而,近年来,维持生殖能力的需求以及腹腔镜技术的改进促使了保守性腹腔镜技术的应用。这种罕见的并发症可以通过保守性腹腔镜方法早期诊断并进行处理。在此,我们对相关文献进行综述,并报告一例经腹腔镜成功处理卵胞浆内单精子注射及胚胎移植后卵巢妊娠的病例。该病例是文献中首例单胚胎移植后发生的卵巢妊娠。我们还总结了有关胚胎移植后卵巢妊娠处理的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7079/4729730/e9c8541e6769/WIITM-10-26200-g001.jpg

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