| 罗田田,肖春梅,郝丽娟.超声检查早期诊断体外受精-胚胎移植术后复合妊娠[J].中国介入影像与治疗学,2018,15(10):618-621 |
| 超声检查早期诊断体外受精-胚胎移植术后复合妊娠 |
| Ultrasound in early diagnosis of heterotopic pregnancy after in vitro fertilization and embryo transfer |
| 投稿时间：2018-03-20 修订日期：2018-08-11 |
| DOI：10.13929/j.1672-8475.201803036 |
| 中文关键词: 超声检查 妊娠,异位 受精,体外 胚胎移植 |
| 英文关键词:Ultrasonography Pregnancy,ectopic Fertilization in vitro Embryo transfer |
| 基金项目:重庆市卫生局2012年医学科研计划项目（2012-2-202）。 |
|
| 摘要点击次数: 1074 |
| 全文下载次数: 612 |
| 中文摘要: |
| 目的 探讨超声检查早期诊断体外受精-胚胎移植术（IVF-ET）后复合妊娠（HP）的价值。方法 回顾性分析81例IVF-ET后临床确诊为复合妊娠患者的超声和手术情况，并随访宫内妊娠结局。结果 超声诊断HP的时间为IVF-ET后20~49天，平均（29.08±5.74）天。81例中，术前超声诊断为宫内合并输卵管妊娠70例，宫内合并宫角妊娠8例，宫内合并宫颈妊娠、宫内合并肌壁间妊娠、单侧输卵管妊娠各1例；术前超声误诊3例，漏诊1例；超声诊断符合率为95.06%（77/81）。对77例宫内妊娠情况进行随访，其中60例已分娩或继续妊娠，6例术后宫内胚胎停育而接受清宫术，1例因21-三体高风险而接受引产，10例失访。结论 超声检查可早期诊断IVF-ET后HP，指导临床及时治疗。 |
| 英文摘要: |
| Objective To explore the value of ultrasound in early diagnosis of heterotopic pregnancy (HP) after in vitro fertilization and embryo transfer (IVF-ET).Methods Clinical and ultrasonic data of 81 cases of HP after IVF-ET were retrospectively analyzed, and intrauterine pregnancy results were followed up.Results HP was diagnosed with ultrasound 20-49 (mean[29.08±5.74]) days after IVF-ET. Among 81 cases, 70 were diagnosed with intrauterine pregnancy combined with tubal pregnancy, 8 were diagnosed combined with uterine horn pregnancy, 1 was diagnosed combined with cervical pregnancy, 1 was diagnosed combined with intramural pregnancy, 1 was diagnosed as unilateral tube pregnancy, while 3 were misdiagnosed and 1 was missed diagnosis with ultrasound before surgery. The coincidence rate of ultrasound diagnosis before surgery was 95.06% (77/81). During following-up of intrauterine pregnancy results of 77 cases, childbirth or continued gestation were observed in 60 cases, 6 cases underwent surgical termination because of embryo damage, 1 had induction of labor because of high risk of Down's syndrome, while 10 cases were lost to follow-up.Conclusion Ultrasound is significant in early diagnosis of heterotopic pregnancy after IVF-ET, which can provide proper guidance for clinical treatment. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
