摘要
目的:探讨超声检查在辅助生殖技术(assisted reproductive technology,ART)治疗后发生典型并发症诊疗中的应用价值。方法:对经ART治疗后发生1例重度卵巢过度刺激综合征(ovarian hyperstimulation syndrome,OHSS)合并双侧卵巢破裂出血、1例单侧输卵管双胎妊娠和1例超促排卵妊娠五胞胎病例进行超声检查分析研究。结果:1例重度OHSS卵巢破裂急性出血在超声图像上无特征性表现,主要是呈多房性的卵巢出血处组织局部迅速膨大,内部回声杂乱无章,边界不清,卵巢周围出现游离无回声。1例单侧输卵管双胎妊娠超声显示增粗的输卵管内2个孕囊。1例超促排卵妊娠五胞胎超声显示子宫内5个孕囊及胚芽。结论:ART时严格掌握促排卵尤其超促排卵助孕的合理应用,控制胚胎移植的数量,加强超声检查,检测卵泡发育,预测OHSS程度,及早检出宫外孕和多胎妊娠,以期母婴安全。
Objective： To explore the ultrasound value in diagnosis and treatment for the typical complications of assisted reproductive technology （ART）. Methods： After treatment with ART, severe ovarian hyperstimulation syndrome （OHSS） combined bilateral ovarian rupture and hemorrhage, unilateral tubal twin pregnancies and quintuplet pregnancy after super-stimulate ovulation was analyzed and researched. Results： Severe OHSS combined bilateral ovarian rupture and hemorrhage had no distinguishing features in ultrasonic images. The main images were ovarian enlarging with multi-separate at bleeding sites, the hemorrhage mass had mess echo, boundary obscure, and there was free echoless around the ovarian, twin pregnancy in unilateral fallopian tube showed there were two gestation sacs in the tube, quintuplet pregnancy after super-stimulate ovulation showed 5 gestation sacs and embryos. Conclusion： In order to ensure the safety of maternal and child, ART should be strictly applied to stimulate ovulation, especially in super-stimulate ovulation and limit the number of embryos transferred. The ultrasound examination should be strengthen.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2015年第12期893-899,共7页
Reproduction and Contraception
关键词
超声
辅助生殖技术(ART)
并发症
ultrasound
assisted reproductive technology （ART）
complications
