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子宫内膜异位囊肿超声引导下穿刺术后盆腔脓肿:一例报告

Pelvic abscess after ultrasound-guided aspiration of endometrioma: a case report.

作者信息

Wei C F, Chen S C

机构信息

Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan, ROC.

出版信息

Zhonghua Yi Xue Za Zhi (Taipei). 1998 Oct;61(10):603-7.

PMID:9830238
Abstract

A 31-year-old female with four years of infertility due to endometriosis and severe pelvic adhesions underwent transvaginal ultrasound-guided aspiration of an ovarian endometrioma before ovulation induction for in vitro fertilization (IVF) and embryo transfer. Seven days following the aspiration, the patient developed acute abdominal pain; diagnostic laparoscopy was performed at a local medical center, revealing a right tubo-ovarian abscess. Exploratory laparotomy ensued and right salpingo-oophorectomy was performed. A combination regimen of three antibiotics was administered and the patient was transferred to the intensive care unit of the Cathay General Hospital two days after surgery for further care. Her postoperative condition was uneventful and she recovered quickly. The patient then continued with further IVF treatment.

摘要

一名31岁女性,因子宫内膜异位症和严重盆腔粘连导致不孕四年,在进行体外受精(IVF)和胚胎移植的排卵诱导前,接受了经阴道超声引导下卵巢子宫内膜异位囊肿抽吸术。抽吸术后七天,患者出现急性腹痛;在当地医疗中心进行了诊断性腹腔镜检查,发现右侧输卵管卵巢脓肿。随后进行了剖腹探查术,并实施了右侧输卵管卵巢切除术。给予三种抗生素联合治疗方案,术后两天患者被转至国泰综合医院重症监护病房进一步护理。她的术后情况平稳,恢复迅速。患者随后继续进行进一步的IVF治疗。

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Pelvic abscess after ultrasound-guided aspiration of endometrioma: a case report.子宫内膜异位囊肿超声引导下穿刺术后盆腔脓肿:一例报告
Zhonghua Yi Xue Za Zhi (Taipei). 1998 Oct;61(10):603-7.
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Ultrasonographically guided transvaginal aspiration of tuboovarian abscesses and pyosalpinges: an optional treatment for acute pelvic inflammatory disease.超声引导下经阴道抽吸输卵管卵巢脓肿和输卵管积脓:急性盆腔炎的一种可选治疗方法。
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Ruptured tubo-ovarian abscess as a complication of IVF treatment: clinical, ultrasonographic and histopathologic findings. A case report.
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Clinical characteristics, treatment status and complications in women with tube ovarian abscess and endometriosis: a retrospective study.
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Long-term pituitary down-regulation before in vitro fertilization (IVF) for women with endometriosis.子宫内膜异位症女性体外受精(IVF)前的长期垂体下调。
Cochrane Database Syst Rev. 2006 Jan 25;2006(1):CD004635. doi: 10.1002/14651858.CD004635.pub2.