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体外受精与胚胎移植后三例宫外妊娠

[Triple extra-uterine pregnancy following in vitro fertilization and embryo transfer].

作者信息

Würfel W, Krüsmann G, Rothenaicher M, Hirsch P, Krüsmann W

机构信息

Frauenklinik Dr. Krüsmann, München.

出版信息

Geburtshilfe Frauenheilkd. 1989 Jun;49(6):592-4. doi: 10.1055/s-2008-1035845.

Abstract

The article reports on an ectopic pregnancy after IVF/ET that was characterized by the simultaneous nidation of three of the four transferred pre-implantation embryos in both (heavily damaged) Fallopian tubes. The ectopic nidation not only in one of the Fallopian tubes must be seen as a pointer to the importance of active mechanisms of transport from the cavum into the Fallopian tubes. Therefore it is unlikely that ectopic pregnancies after IVF/ET--even if the technique is satisfactory--can be avoided completely. In view of the fact that several IVF treatments were performed in vain, the nidation of three of the four transferred embryos must be interpreted as supporting the theory that the conditions in the Fallopian tubes are more favourable for the development of the human pre-implantation embryos.

摘要

本文报道了一例体外受精/胚胎移植(IVF/ET)后的异位妊娠,其特征为四个移植的植入前胚胎中的三个同时在双侧(严重受损的)输卵管着床。异位着床不仅发生在一根输卵管内,这一情况表明从子宫腔向输卵管的主动转运机制具有重要意义。因此,即使技术令人满意,IVF/ET后的异位妊娠也不太可能完全避免。鉴于多次IVF治疗均未成功,四个移植胚胎中的三个着床这一情况必定支持如下理论,即输卵管内的条件对人类植入前胚胎的发育更为有利。

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