發(fā)布時(shí)間：2018-08-07 15:41

【摘要】：目的:探討早期經(jīng)陰道穿刺放腹水治療中重度卵巢過度刺激綜合征(ovarian hyperstimulation syndrome,OHSS)的臨床效果。方法:回顧性分析2014年1—9月在本院生殖醫(yī)學(xué)中心行體外受精/卵胞漿內(nèi)單精子注射-胚胎移植(IVF/ICSI-ET)術(shù)后出現(xiàn)中、重度OHSS的96例門診患者臨床資料。根據(jù)OHSS發(fā)生的時(shí)間分為早發(fā)型和晚發(fā)型。根據(jù)經(jīng)陰道穿刺放腹水處理治療的時(shí)間早晚,又進(jìn)一步分為早處理組和晚處理組。結(jié)果:(1)中、重度OHSS患者早處理和晚處理組年齡、體重指數(shù)(BMI)、基礎(chǔ)卵泡刺激素(FSH)等基本臨床資料指標(biāo)差異無統(tǒng)計(jì)學(xué)意義。其受精率、獲卵數(shù)、流產(chǎn)率等指標(biāo)差異也無統(tǒng)計(jì)學(xué)意義。(2)在兩種OHSS分型患者中,早處理和晚處理組經(jīng)陰道穿刺放腹水量差異均有統(tǒng)計(jì)學(xué)意義。結(jié)論:對(duì)于門診管理的OHSS患者,無論是早發(fā)型還是晚發(fā)型,建議及早經(jīng)陰道穿刺放腹水治療,該治療手段不增加流產(chǎn)率,降低了治療后住院率,安全經(jīng)濟(jì)有效。
[Abstract]:Objective: to investigate the clinical effect of early vaginal puncture and ascites in the treatment of moderate and severe ovarian hyperstimulation syndrome (ovarian hyperstimulation syndrome). Methods: the clinical data of 96 outpatients with severe OHSS after in vitro fertilization / intracytoplasmic sperm injection-embryo transfer (IVF/ICSI-ET) in our hospital from January to September 2014 were analyzed retrospectively. According to the time OHSS occurs, it is divided into early and late hairstyles. According to the treatment time of vaginal puncture and ascites treatment, it was further divided into early treatment group and late treatment group. Results: (1) there was no significant difference in age, body mass index (BMI),) basic follicle stimulating hormone (FSH) and other basic clinical data between early and late treatment groups in patients with severe OHSS. There was no significant difference in fertilization rate, egg number, abortion rate and so on. (2) in the two OHSS typing patients, there were significant differences between the early treatment group and the late treatment group. Conclusion: for OHSS patients with early onset or late onset, it is recommended to treat ascites through vaginal puncture as early as possible. The treatment does not increase abortion rate, reduce the hospitalization rate after treatment, and is safe, economical and effective.
【作者單位】： 南京醫(yī)科大學(xué)鼓樓臨床醫(yī)學(xué)院生殖醫(yī)學(xué)科;
【基金】：南京市衛(wèi)生局課題(LC153)
【分類號(hào)】：R714.8

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 范勇;利用中心靜脈導(dǎo)管進(jìn)行放腹水治療[J];現(xiàn)代實(shí)用醫(yī)學(xué);2003年12期

2 袁全才,劉溯;排放腹水治療肝硬化頑固性腹水32例分析[J];寄生蟲病與感染性疾病;2004年01期

3 池肇春;排放腹水治療的再認(rèn)識(shí)[J];臨床肝膽病雜志;1989年04期

4 王玉梅,劉連升,曾嶸,詹渭鵬;不同腹水濃縮方式對(duì)頑固腹水治療的臨床療效觀察[J];蘭州醫(yī)學(xué)院學(xué)報(bào);2003年02期

5 江文慶,陳元和;中西醫(yī)結(jié)合治療肝硬化頑固性腹水30例[J];中西醫(yī)結(jié)合肝病雜志;2003年S1期

6 尹秀珍;;單腔中心靜脈導(dǎo)管在惡性腹水治療中的應(yīng)用46例分析[J];中國誤診學(xué)雜志;2010年19期

7 張振權(quán),苑鳳昌,喬玉芳;排放腹水治療頑固性肝硬化腹水[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);1997年04期

8 朱雅琪;;肝硬化性腹水治療進(jìn)展[J];中國醫(yī)學(xué)文摘.內(nèi)科學(xué);2004年02期

9 賈瑞珍;肝硬化病人何時(shí)宜放腹水治療?[J];中國臨床醫(yī)生;1999年03期

10 程力利,朱惠敏,朱文;一次性排放腹水治療肝病合并腹水62例臨床護(hù)理[J];護(hù)理學(xué)雜志;1993年01期

相關(guān)會(huì)議論文 前2條

1 徐大毅;;腹水治療的現(xiàn)狀與進(jìn)展[A];中國中西醫(yī)結(jié)合第十九次全國消化病學(xué)術(shù)會(huì)議暨國家級(jí)中西醫(yī)結(jié)合消化疾病新進(jìn)展學(xué)習(xí)班論文匯編[C];2007年

2 阿里木;木拉提;卡米拉;趙素元;;對(duì)輸注血蛋白治療肝硬化與腹水的再認(rèn)識(shí)[A];中華醫(yī)學(xué)會(huì)第十二次全國病毒性肝炎及肝病學(xué)術(shù)會(huì)議論文匯編[C];2005年

，

本文編號(hào)：2170501