Bennett S J, Waterstone J J, Cheng W C, Parsons J
Assisted Conception Unit, King's College Hospital, London, UK.
J Assist Reprod Genet. 1993 Jan;10(1):72-7. doi: 10.1007/BF01204444.
Complications following transvaginal ultrasound-directed follicle aspiration are rare, making it difficult to assess their true incidence. During a 4-year prospective study the complications arising from a series of 2670 consecutive procedures were monitored.
Vaginal hemorrhage occurred in 229 (8.6%) of the cases, with a significant loss (> 100 ml) in 22 (0.8%). Postoperative pelvic infection occurred in 18 (0.6%) of the cases. Hemorrhage from the ovary with hemoperitoneum formation was seen on two occasions and necessitated emergency laparotomy in one instance. A single case of pelvic haematoma formation from a punctured iliac vessel was also recorded; this settled without intervention. Of the 18 cases with infection, 9 were severe with pelvic abscess formation; microbiological examination of the pus from these cases suggests that the most common route of infection in such cases is probably by direct inoculation of vaginal organisms into the peritoneal cavity by the collecting needle.
The low incidence of pelvic infection questions the value of using prophylactic antibiotics. No increased risk of infection was demonstrated in cases with preexisting peritoneal damage.
经阴道超声引导下卵泡抽吸术后的并发症罕见，因此难以评估其真实发生率。在一项为期4年的前瞻性研究中，对连续进行的2670例手术所产生的并发症进行了监测。
229例（8.6%）出现阴道出血，其中22例（0.8%）失血量大（>100 ml）。18例（0.6%）发生术后盆腔感染。有两次出现卵巢出血并形成血腹，其中1例需要进行急诊剖腹手术。还记录到1例因穿刺髂血管形成盆腔血肿的病例；该病例未经干预自行消退。在18例感染病例中，9例病情严重并形成盆腔脓肿；对这些病例脓液的微生物学检查表明，此类病例最常见的感染途径可能是采集针将阴道微生物直接接种到腹腔。
盆腔感染发生率低，这对使用预防性抗生素的价值提出了质疑。在已有腹膜损伤的病例中未显示出感染风险增加。
