摘要
目的:分析体外受精-胚胎移植(IVF-ET)后异位妊娠(EP),包括宫内、宫外同时妊娠(HP)的发病率及好发因素,并评价其各种诊断和处理方法的临床效果。方法:回顾性分析11例(IVF-ET)后EP的临床资料。结果:11例EP病人中,其中HP 3例占27.5%,全部经阴道B超确诊,11例行腹腔镜输卵管切除术,全部11例宫内妊娠均能继续。结论:输卵管病变是IVF-ET后EP发生的常见原因,阴道超声检查结合临床症状,和HCG测定是最有效的诊断方法,腹腔镜下手术是治疗HP的较好方法。
Objective :To analyze the incidence and risk factors of ectopic pregnancy( EP), including hesterotopic pregnancy( HP), after in vitro fertilization and embryo transfer( IVF - ET) and evaluate the eiilciency of different. Methods : 11 patients with EP after IVF -ET were retrospectively studied. Results:Of 11 patients with EP,3 had HP with the rate 27.5%. All of them was diagnosed of the combination of sonograph.. 11 patients with HP were treated with Laparoscopie salpingectomy. Conclusion: Ovidut disease is the main risl fators of EP after IVF - ET. The combination of sonograph and serum HCG messure merit is reliable in the diagnosis of EP. Laparoscopic salpingectomy is considered to be the best method for the treament of HP.
出处
《赣南医学院学报》
2006年第2期222-223,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY