摘要
取卵术是辅助生殖技术安全有效开展的基础。虽然取卵术的整体并发症发生率较低,但严重的腹腔内出血、输卵管/卵巢脓肿、输尿管损伤和盆腔假性动脉瘤破裂等均是不容轻视的并发症,一旦发生,不仅会影响体外受精(in vitro fertilization,IVF)的助孕结局,进一步延迟生育时机,而且还可能对后续的妊娠和生活质量产生一定的影响。对于高风险患者,需从术前、术中和术后3个方面给予全方位的管理,秉持早发现、早干预、早治疗的原则,积极处理,以免病情的进一步恶化和生育力的损伤。
Oocyte retrieval is the cornerstone for the safe and effective implementation of assisted reproductive technology.Although the occurrence rate of general complications is low,severe intra-abdominal hemorrhage,ovarian abscess,ureteral injury,and rupture of pelvic pseudoaneurysm are all significant complications of oocyte retrieval that should not be underestimated.The occurrence of these complications may be accompanied by adverse effects on the outcome of IVF,delay timing of conception,and damage to the patient's subsequent pregnancy and quality of life.For patients at high risk of developing the aforementioned complications,comprehensive management should be provided from preoperative,intraoperative,and postoperative perspectives.According to the principles of early detection,early intervention,and early treatment,proactive measures should be taken to actively address the situation in order to prevent the further deterioration of the condition and to minimize the impairment of fertility.
作者
王洋
尹婧雯
李蓉
WANG Yang;YIN Jing--wen;LI Rong(Center for Reproductive Medicine,Department of Obstetrics and Gynecology,Peking University Third Hospital,Beijing 100191,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2023年第10期983-987,共5页
Chinese Journal of Practical Gynecology and Obstetrics
基金
国家自然科学基金(82101713)
北京大学第三医院临床重点项目(BYSYZD2021014)。
关键词
取卵术
出血
感染
损伤
oocyte retrieval
hemorrhage
infection
injury
