文章摘要
邹宇洁,尹太郎,杨菁,高玥,常硕.体外受精-胚胎移植后发生异位妊娠34例临床分析[J].中国医药导刊,2017,19(12):1318-1321.
体外受精-胚胎移植后发生异位妊娠34例临床分析
Clinical Analysis of 34 Cases of Ectopic Pregnancy after in vitro Fertilization and Embryo Transfer
投稿时间:2017-09-10  修订日期:2017-11-29
DOI:
中文关键词: 异位妊娠  体外受精  胚胎移植  妊娠率
英文关键词: Ectopic pregnancy  In vitro fertilization  Embryo transfer  Pregnancy rate
基金项目:湖北省自然科学基金资助项目(项目编号:2016CFB352;项目名称:用于少弱精子无保护剂超快速冷冻的新型微流控芯片研究); 湖北省卫计委面上项目(项目编号:WJ2017M011;项目名称:乙酰左旋肉碱在人精子冷冻过程中的抗氧化损伤作用及机制研究)
作者单位E-mail
邹宇洁 武汉大学人民医院 543011265@qq.com 
尹太郎 武汉大学人民医院  
杨菁 武汉大学人民医院 543011265@qq.com 
高玥 武汉大学人民医院  
常硕 武汉大学人民医院  
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中文摘要:
      目的:探讨体外受精-胚胎移植(IVF-ET)后异位妊娠的发生率、相关因素及诊疗方法。方法:回顾性分析IVF-ET后发生异位妊娠34例的临床资料。结果:1 140例临床妊娠中,宫内妊娠1 106例,异位妊娠34例(2.98%),包括宫内外同时妊娠5例。输卵管因素不孕异位妊娠的发生率为4.4%(27/619),远高于因子宫内膜异位症、排卵障碍等因素异位妊娠的发生率。年龄、受精方式、胚胎来源和移植次数对异位妊娠的发生率无明显影响。结论:IVF-ET后异位妊娠发生率较自然妊娠时高,而输卵管病变是影响IVF-ET后异位妊娠发生率的主要因素。妊娠早期通过血HCG和B超监测,有助于异位妊娠的早诊断和早治疗。
英文摘要:
      Objective: To study the incidence, risk factors and clinical manifestation for ectopic pregnancy after in vitro fertilization and embryo transfer (IVF-ET). Methods: Retrospective study of 34 cases of ectopic pregnancy after IVF-ET. Results: Of 1 140 clinical pregnancy, there were 1 106 intrauterine pregnancy and 34 ectopic pregnancy(2.98%), including 5 heterotopic pregnancy. The incidence of ectopic pregnancy in tubal factor group was 4.4%(27/619), higher than that of other factors. There was no correlation between age, fertilization way, source of embryo, transplantation times and ectopic pregnancy. Conclusion: Incidence of ectopic pregnancy after IVF-ET is higher than that of natural pregnancy, with tubal factors to be the closely related. Early measurement of blood HCG and B ultrasound contribute to the early diagnosis and treatment of ectopic pregnancy.
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