浙江医学2017，Vol.39Issue(24)：2222-2224,2235,4.DOI:10.12056/j.issn.1006-2785.2017.39.24.2017-1062
体外受精-胚胎移植术后宫内外复合妊娠临床分析
Heterotopic pregnancy after in vitro fertilization and embryo transfer: risk factors and pregnancy outcomes
徐芝慧 1潘承双1
作者信息
- 1. 325000 温州医科大学附属第一医院生殖医学中心
- 折叠
摘要
Abstract
Objective To investigate the risk factors and pregnancy outcomes of heterotopic pregnancy after in vitro fertilization/intracytoplasmic sperm injection and embryo transfer (IVF/ICSI-ET).Methods Fifty-four women with heterotopic pregnancy (HP group) and 119 women with intrauterine twin pregnancy (control group) after receiving IVF/ICSI-ET at our reproductive medicine center between January 2009 and July 2016 were enrolled in the study.The risk factors of heterotopic pregnancy were analyzed and the pregnant outcomes were compared between two groups.Results The frequency of previous abortion and ectopic pregnancy,the percent of tubal infertility in HP group were higher than those in control group (P＜0.05).Compared to control group,the mean level of serum β-hCG (16 days after ovum retrieval) was lower (P＜0.05),the miscarriage rate was higher and preterm birth rate was lower (P＜0.05) in HP group.However,there were no significant differences in term pregnancy rate and continuing pregnancy rate between two groups (P＞0.05).Conclusion Repeated abortion,ectopic pregnancy and fallopian tubal disease are the risk factors of heterotopic pregnancy after IVF-ET.The ultrasound scan is suggested for suspected heterotopic pregnant women,and once the HP was diagnosed a prompt treatment may result in a desirable outcome of the intrauterine pregnancy.关键词
体外受精/胚胎移植/宫内外复合妊娠/妊娠结局Key words
In vitro fertilization/Embryo transfer/Heterotopic pregnancy/Pregnancy outcomes引用本文复制引用
徐芝慧,潘承双..体外受精-胚胎移植术后宫内外复合妊娠临床分析[J].浙江医学,2017,39(24):2222-2224,2235,4.
