生殖医学杂志2017，Vol.26Issue(2)：158-162,5.DOI:10.3969/j.issn.1004-3845.2017.02.011
体外受精与胚胎移植术后异位妊娠的单中心回顾性研究
A retrospective study of ectopic pregnancy after IVF-ET in a reproductive center
冉圣元 1孙正怡 1甄璟然 1郁琦 1孙爱军 1邓成艳 1何方方 1田秦杰 1陈蓉 1周远征 1王含必1
作者信息
- 1. 中国医学科学院北京协和医学院北京协和医院妇产科,北京100730
- 折叠
摘要
Abstract
Objective:To investigate the incidence,clinical characteristics and rational solutions of ectopic pregnancy(EP) after IVF-ET.Methods:The data of the patients with ectopic pregnancy after IVF-ET in the reproductive center of Peking Union Medical College Hospital(PUMCH) from 2010 to 2015 were respectively analyzed.Results:Of the total 3 656 clinical pregnancies in six years,45 (1.23 ％) cycles in 42 patients were verified as ectopic.Two patients suffered repeated EP and five patients heterotopic pregnancy(HP).Of these EP,there were 19 cycles belonging to tubal pregnancies,which accounted for 42.22％ of all EP.Among 45 EP cycles,the assisted conceptions of 24 cycles were due to tubal factors(53.33％) and 21 cycles non-tubal factors(46.67％).Among the 45 cycles,3 cycles were given conservative treatment and 42 cycles received laparoscopy or laparotomy.Emergency laparoscopic ectopic pregnancy debridement and progesterone treatment for intrauterine pregnancy were performed in three of five HP patients.The postoperative pregnancies were uneventful in two patients and they delivered healthy babies through elective cesarean sections at last.There were 22 patients(52.38％) conceived successfully in the following IVF-ET and delivered healthy babies and 17 patients(40.48％) were still trying to get pregnant by means of IVF-ET.The rest of 3 patients(7.14％) gave up their birth plans for the moment.Conclusions:With the significant improvement in IVF technology,EP may be no longer a complication specifically associated with IVF-ET,but this complication should been paid great attention.Tubal factor may be the important factors for the incidence of EP.Doctors should take the particularity of IVF-ET into consideration when dealing with patients undergoing IVF-ET.关键词
异位妊娠/IVF ET/输卵管因素/宫内宫外同时妊娠Key words
Ectopic pregnancy/IVF-ET/Tubal factor/Heterotopic pregnancy引用本文复制引用
冉圣元,孙正怡,甄璟然,郁琦,孙爱军,邓成艳,何方方,田秦杰,陈蓉,周远征,王含必..体外受精与胚胎移植术后异位妊娠的单中心回顾性研究[J].生殖医学杂志,2017,26(2):158-162,5.
