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宫内人工授精促排卵过程中的卵巢过度刺激综合征

OVARIAN HYPERSTIMULATION SYNDROME DURING INDUCTION OF OVULATION FOR INTRA UTERINE INSEMINATION.

作者信息

Rath S K, Sharma R K, Tarneja P, Chattopadhyay A B, Wadhwa R D

机构信息

Reader, Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune - 411 040.

Professor, Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune - 411 040.

出版信息

Med J Armed Forces India. 2001 Jul;57(3):210-2. doi: 10.1016/S0377-1237(01)80045-9. Epub 2011 Jul 21.

Abstract

Ovarian Hyperstimulation Syndrome (OHSS) is a known iatrogenic complication of ovulation induction. Our experience of such complication while managing basic assisted conception cycles has been analysed in the present study. 12 such cases were identified in 976 cycles studied giving an overall incidence of 1.22%. All the cases were of mild to moderate variety and were managed conservatively. The duration of the complication ranged between 10 days to 6 weeks. Polycystic ovarian disease, LH: FSH ratio of more than 1, presence of four or more secondary follicles were found to be important predictive criteria. Identification of predictive factors of OHSS can be helpful in taking due care while using ovulation inducing drugs. Conception does worsen OHSS, but termination is usually not necessary.

摘要

卵巢过度刺激综合征(OHSS)是一种已知的排卵诱导医源性并发症。本研究分析了我们在处理基础辅助受孕周期时遇到此类并发症的经验。在所研究的976个周期中,发现了12例此类病例,总发生率为1.22%。所有病例均为轻至中度,采用保守治疗。并发症持续时间为10天至6周。发现多囊卵巢疾病、LH:FSH比值大于1、存在四个或更多次级卵泡是重要的预测标准。识别OHSS的预测因素有助于在使用排卵诱导药物时给予适当的护理。受孕确实会加重OHSS,但通常不需要终止妊娠。

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