Raziel A, Friedler S, Schachter M, Strassburger D, Bukovsky I, Ron-El R
IVF and Infertility Unit, Assaf Harofeh Medical Center, Zerifin, Israel.
Fertil Steril. 1998 Apr;69(4):780-3. doi: 10.1016/s0015-0282(98)00003-x.
To describe an alternative technique for transvaginal drainage of ascites in a case of severe ovarian hyperstimulation syndrome (OHSS), generalized edema, and obesity.
Case report.
A university-based hospital IVF and Reproductive Medicine Unit.
PATIENT(S): A patient hospitalized with severe OHSS after IVF-ET in whom drainage of large amounts of ascitic fluid was necessary.
INTERVENTION(S): Ultrasonographic transvaginal insertion of a wire guide through a standard IVF needle into the Douglas pouch. Placement of a "peel-away" set on the wire, which was replaced with a "pigtail" indwelling catheter.
MAIN OUTCOME MEASURE(S): Amount of drained ascitic fluid.
RESULT(S): Ascitic fluid was drained efficiently, leading to improvement of the patient's condition.
CONCLUSION(S): Transvaginal ultrasonography-guided insertion of a pigtail catheter through the Douglas pouch is an efficacious procedure when the abdominal approach for decompression of ascites is difficult.
描述在一例严重卵巢过度刺激综合征（OHSS）、全身水肿且肥胖患者中经阴道引流腹水的一种替代技术。
病例报告。
一所大学附属医院的体外受精与生殖医学科。
一名在体外受精 - 胚胎移植（IVF - ET）后因严重OHSS住院且需要引流大量腹水的患者。
经阴道超声引导下通过标准IVF针将导丝插入道格拉斯窝。在导丝上放置一个“可剥离”套件，之后换成“猪尾”留置导管。
引流的腹水量。
腹水被有效引流，患者病情得到改善。
当经腹途径进行腹水减压困难时，经阴道超声引导下通过道格拉斯窝插入猪尾导管是一种有效的方法。
