PDF(Pubmed)
Abstract：
UNASSIGNED: Ectopic pregnancy (EP), reflecting a fertilized ovum implanted outside the normal uterine cavity, represents a frequent cause of morbidity and possibly mortality in women of reproductive age.
UNASSIGNED: To summarize the diagnosis and treatment of EP after in vitro fertilization/intracytoplasmic sperm injection and embryo transfer (IVF/ICSI-ET).
UNASSIGNED: The medical records of patients who were diagnosed with EP after embryo transfer from 2017 to 2019, in a tertiary hospital were reviewed.
UNASSIGNED: Of the 24 cases analyzed, 21 (87.5%) had fallopian tube involvement, while 2 (8.3%) and 1 (4.2%) had cornual and cervical pregnancies, respectively. Clinical manifestations included vaginal bleeding (58.3%) and lower abdominal pain (16.7%); 9 (42.9%) cases had no symptoms. One cornual pregnancy was misdiagnosed as acute appendicitis and later correctly diagnosed by laparoscopic exploration. There were 2 cases of multiple-site EP and 2 of heterotopic pregnancy, including one with an intrauterine pregnancy with double chorionic and four amniotic sacs and right tubal ampullary pregnancy. Five of the 21 cases with fallopian tube involvement received conservative treatment, while the remaining 16 underwent surgeries, including laparoscopic ipsilateral salpingostomy and ipsilateral salpingectomy.
UNASSIGNED: Ectopic pregnancy after embryo transfer, mainly involving the fallopian tube, is very complex and is with diverse manifestations. Even with the pregnancy sac observed in the uterus, the pelvic cavity should be scanned thoroughly after embryo transfer.
UNASSIGNED: To summarize the diagnosis and treatment of EP after in vitro fertilization/intracytoplasmic sperm injection and embryo transfer (IVF/ICSI-ET).
UNASSIGNED: The medical records of patients who were diagnosed with EP after embryo transfer from 2017 to 2019, in a tertiary hospital were reviewed.
UNASSIGNED: Of the 24 cases analyzed, 21 (87.5%) had fallopian tube involvement, while 2 (8.3%) and 1 (4.2%) had cornual and cervical pregnancies, respectively. Clinical manifestations included vaginal bleeding (58.3%) and lower abdominal pain (16.7%); 9 (42.9%) cases had no symptoms. One cornual pregnancy was misdiagnosed as acute appendicitis and later correctly diagnosed by laparoscopic exploration. There were 2 cases of multiple-site EP and 2 of heterotopic pregnancy, including one with an intrauterine pregnancy with double chorionic and four amniotic sacs and right tubal ampullary pregnancy. Five of the 21 cases with fallopian tube involvement received conservative treatment, while the remaining 16 underwent surgeries, including laparoscopic ipsilateral salpingostomy and ipsilateral salpingectomy.
UNASSIGNED: Ectopic pregnancy after embryo transfer, mainly involving the fallopian tube, is very complex and is with diverse manifestations. Even with the pregnancy sac observed in the uterus, the pelvic cavity should be scanned thoroughly after embryo transfer.
摘要：
■异位妊娠（EP），反映出植入正常子宫腔外的受精卵，是育龄妇女发病和可能死亡的常见原因。
■总结体外受精/卵胞浆内单精子注射和胚胎移植（IVF/ICSI-ET）后EP的诊断和治疗。
■回顾了2017年至2019年在三级医院进行胚胎移植后诊断为EP的患者的病历。
■在分析的24例病例中，21例（87.5%）有输卵管受累，而2例(8.3%)和1例(4.2%)宫角和宫颈妊娠，分别。临床表现为阴道出血(58.3%)和下腹痛(16.7%);9例(42.9%)无症状。1例宫角妊娠被误诊为急性阑尾炎，后来通过腹腔镜探查正确诊断。多部位EP2例,异位妊娠2例,包括1例宫内妊娠伴双绒毛膜和4个羊膜囊和右输卵管壶腹妊娠。21例输卵管受累患者中有5例接受保守治疗，其余16人接受了手术，包括腹腔镜同侧输卵管造口术和同侧输卵管切除术。
■胚胎移植后异位妊娠，主要涉及输卵管，非常复杂，表现多样。即使在子宫中观察到妊娠囊，胚胎移植后，应彻底扫描盆腔。
■总结体外受精/卵胞浆内单精子注射和胚胎移植（IVF/ICSI-ET）后EP的诊断和治疗。
■回顾了2017年至2019年在三级医院进行胚胎移植后诊断为EP的患者的病历。
■在分析的24例病例中，21例（87.5%）有输卵管受累，而2例(8.3%)和1例(4.2%)宫角和宫颈妊娠，分别。临床表现为阴道出血(58.3%)和下腹痛(16.7%);9例(42.9%)无症状。1例宫角妊娠被误诊为急性阑尾炎，后来通过腹腔镜探查正确诊断。多部位EP2例,异位妊娠2例,包括1例宫内妊娠伴双绒毛膜和4个羊膜囊和右输卵管壶腹妊娠。21例输卵管受累患者中有5例接受保守治疗，其余16人接受了手术，包括腹腔镜同侧输卵管造口术和同侧输卵管切除术。
■胚胎移植后异位妊娠，主要涉及输卵管，非常复杂，表现多样。即使在子宫中观察到妊娠囊，胚胎移植后，应彻底扫描盆腔。
