■目前,辅助生殖技术(ART)后妊娠早期角化妊娠的治疗策略尚不清楚.治疗不当会给患者造成不必要的损失,尤其是不孕患者,艺术之后本研究旨在明确ART后妊娠角化期待治疗的妊娠结局,为临床治疗策略的制定提供依据。
■这项回顾性病例系列研究是在一所大学医院的生殖医学中心进行的。收集并分析了2016年1月至2021年8月在ART后诊断为角度妊娠的所有患者的母亲数据和妊娠结局。结果包括活产,足月出生,早产,早期妊娠丢失,胎儿死亡,胎盘早剥,子宫破裂,产妇死亡,子宫切除术.
■本研究共分析了78例患者,其中54人(69.2%)有活产,44(56.4%)有足月分娩,21(26.9%)有早期妊娠失败,1(1.3%)有中期流产,1例(1.3%)因胎儿畸形行中期引产,1例(1.3%)子宫破裂。没有孕产妇死亡病例,胎盘早剥,或者子宫切除术.
ART后的角度妊娠并不像以前的研究中描述的那样危险;大多数病例可以在近距离随访下进行预期治疗并获得活产。
UNASSIGNED: Currently, the treatment strategies for angular pregnancy in the first trimester after assisted reproduction technology (ART) are unclear. Improper treatment will cause unnecessary losses to patients, especially infertile patients, after ART. The purpose of this study was to clarify the pregnancy outcomes of expectant treatment for angular pregnancy post-ART and to provide a basis for the formulation of clinical treatment strategies.
UNASSIGNED: This retrospective case series study was performed at the Reproductive Medicine Center of a university hospital. Maternal data and pregnancy outcomes were collected and analyzed for all patients diagnosed with angular pregnancies after ART between January 2016 and August 2021. The outcomes included live birth, term birth, premature birth, early pregnancy loss, fetal death, placental abruption, uterine rupture, maternal death, and hysterectomy.
UNASSIGNED: A total of 78 patients were analyzed in this study, of whom 54 (69.2%) had live births, 44 (56.4%) had term births, 21 (26.9%) had an early pregnancy loss, 1 (1.3%) had mid-trimester missed abortion, 1 (1.3%) underwent mid-trimester labor induction due to fetal malformation, and 1 (1.3%) underwent uterine rupture. There were no cases of maternal death, placental abruption, or hysterectomies.
UNASSIGNED: Angular pregnancy after ART is not as dangerous as that described in previous studies; most cases could be treated expectantly under close-interval follow-up and obtain live birth.