摘要
本文报告一例37岁行体外受精-胚胎移植(IVF-ET)24天后出现下腹持续性疼痛,经超声提示宫内双胎并左侧卵巢区包块伴少量盆腔积液,诊断为黄体破裂合并轻度失血性贫血,采用保守治疗并给予黄体支持及密切监测,病情平稳,超声及血象随访示包块和积液逐渐吸收,保胎成功。该病例提示在辅助生殖技术早孕期出现急腹症时,应首先考虑黄体破裂,并应与异位妊娠、阑尾炎等鉴别,并可在生命体征平稳、无大量出血时优先考虑保守治疗,以降低手术相关流产风险。
This paper reports a case of a 37-year-old woman who presented with persistent lower abdominal pain 24 days after in vitro fertilization and embryo transfer(IVF-ET).Ultrasound revealed an intrauterine twin pregnancy,a mass in the left ovarian region,and a small amount of pelvic effusion.The diagnosis was corpus luteum rupture complicated by mild hemorrhagic anemia.Conservative management was adopted,including luteal support and close monitoring.The patient's condition stabilized,and follow-up ultrasound and blood tests showed gradual absorption of the mass and effusion,with successful pregnancy preservation.This case highlights that in patients undergoing assisted reproductive technology who present with acute abdominal pain during early pregnancy,corpus luteum rupture should be considered as a primary diagnosis and differentiated from conditions such as ectopic pregnancy and appendicitis.When vital signs are stable and there is no significant hemorrhage,conservative treatment should be prioritized to reduce the risk of surgery-related miscarriage.
出处
《妇女》
2025年第21期245-247,共3页
关键词
IVF-ET
双胎早孕
黄体破裂
保守治疗
鉴别诊断
IVF-ET
Early twin pregnancy
Corpus luteum rupture
Conservative treatment
Differential diagnosis
