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体外受精-胚胎移植后宫内外同时妊娠不同处理方法的结局比较

谭金凤 王宁宁 梁莉莉 钟苗 刘斌

实用医学杂志2013,Vol.29Issue(14):2286-2289,4.
实用医学杂志2013,Vol.29Issue(14):2286-2289,4.DOI:10.3969/j.issn.1006-5725.2013.14.018

体外受精-胚胎移植后宫内外同时妊娠不同处理方法的结局比较

Comparison of the outcomes of different administrations of heterotopic pregnancy after in vitro fertilization-embryo transfer

谭金凤 1王宁宁 1梁莉莉 1钟苗 1刘斌1

作者信息

  • 1. 510080 广州市,中山大学附属第一医院妇产科
  • 折叠

摘要

Abstract

Objective To compare the outcomes of different administrations of heterotopic pregnancy (HP)after in vitro fertilization-embryo transfer (IVF-ET).Methods Clinical data of 50 cases with HP after IVF-ET were retrospectively analyzed.All patients were divided into 4 groups:conservative observation group (n =16),laparotomy group (n =18),transvaginal puncture group (n =3) and laparoscopic surgery group (n =13).The intrauterine pregnant outcomes of patients in each group were compared.Results When successful pregnancy was defined as pre-term or in-term delivery,and when the cases still in pregnant right now were excluded,the successful pregnant rate in conservative observation group was 78.6%,which was not significantly higher than those in laparotomy group,transvaginal puncture group and laparoscopic surgery group (63.6%,66.7% and 50.0%;P =0.656,1.0,0.204).Conclusion The intrauterine pregnant outcomes were not significantly different among the 4 groups,which indicated that in asymptomatic patients or patients with moderate symptoms,conservative observation could be administered firstly.

关键词

宫内外同时妊娠/体外受精-胚胎移植/开腹手术/腹腔镜手术/保守观察

Key words

Heterotopic pregnancy/ In vitro fertilization-embryo transfer/ Laparotomy/ Laparoscopic surgery / Conservative observation

引用本文复制引用

谭金凤,王宁宁,梁莉莉,钟苗,刘斌..体外受精-胚胎移植后宫内外同时妊娠不同处理方法的结局比较[J].实用医学杂志,2013,29(14):2286-2289,4.

实用医学杂志

OA北大核心CSTPCD

1006-5725

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