腹腔镜手术后异位妊娠患者的临床疗效

IF 1.5 Q3 OBSTETRICS & GYNECOLOGY European Journal of Obstetrics and Gynecology and Reproductive Biology: X Pub Date : 2024-09-27 DOI:10.1016/j.eurox.2024.100342

Wei-wei Ma, Yi Zhu, Ya Shen

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引用次数: 0

摘要

目的本回顾性研究旨在分析接受体外受精和胚胎移植（IVF-ET）及腹腔镜手术治疗的异位妊娠（HP）患者的腹腔镜手术治疗及临床后果。材料与方法我们对2013年1月至2022年12月期间在南通大学附属妇幼保健院接受IVF-ET的异位妊娠患者的临床特征和妊娠结果进行了回顾性分析。11例（52.4%）在手术前有腹痛和阴道出血等临床表现，10例（47.6%）在确诊前无症状。所有患者均接受了腹腔镜手术，术后流产 8 例（6.15%），13 名新生儿出生时均无异常。

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Clinical outcomes of patients with heterotopic pregnancy after laparoscopic surgery

Objective

This retrospective study aims to analyze laparoscopic surgical management and clinical consequences of patients with heterotopic pregnancy (HP) who underwent in vitro fertilization and embryo transfer (IVF-ET) and laparoscopic surgical management.

Material and methods

We conducted a retrospective analysis of clinical characteristics and pregnancy results of patients with HP who underwent IVF-ET at the Affiliated Maternity and Child Health Care Hospital of Nantong University between January 2013 and December 2022.

Results

21 patients were diagnosed with HP, with an average diagnostic period of 49.1 ± 11.1 days. 11 cases (52.4 %) exhibited clinical manifestations such as abdominal pain and vaginal hemorrhage before the surgery, while 10 cases (47.6 %) were asymptomatic prior to diagnosis. All patients underwent laparoscopic surgery, resulting in 8 cases of miscarriage postoperatively (6.15 %), and all 13 neonates showed no anomalies at birth.