查詢結果分析
相關文獻
- Multiple Pregnancy with Adnexal Torsion after in Vitro Fertilization: Case Report
- Pelvic Abscess after Ultrasound-Guided Aspiration of Endometrioma: A Case Report
- 子宮附屬器扭轉
- 卵巢過度刺激症候群
- 體外受精與精蟲
- Unplugging of Incubator Overnight Resulted in Pregnancy in in Vitro Fertilization
- Transdermal Estradiol Delivery System Increases Pregnancy Rates of Patients with Premature Ovarian Failure in a Donor Oocyte Program
- Ischemic Stroke in a Young Woman with Ovarian Hyperstimulation Syndrome
- 應用豬卵體外受精技術評估公豬精液保存效果
- Multiple Pregnancy with Adnexal Torxion after in Vitro Fertilization: Case Report
頁籤選單縮合
題名 | Multiple Pregnancy with Adnexal Torsion after in Vitro Fertilization: Case Report=人工生殖技術引發之多胞胎妊娠合併子宮附屬器扭轉:病例報告 |
---|---|
作者 | 呂英仁; 黃富仁; 張旭陽; Lu, Ying-jen; Huang, Fu-jen; Chang, Shiuh-young; |
期刊 | 長庚醫學 |
出版日期 | 19990900 |
卷期 | 22:3 1999.09[民88.09] |
頁次 | 頁481-485 |
分類號 | 417.125 |
語文 | eng |
關鍵詞 | 體外受精; 卵巢過度刺激症候群; 子宮附屬器扭轉; In vitro fertilization; Ovarian hyperstimulation syndrome; Adnexal torsion; |
中文摘要 | 人工生殖技術(ART)為目前廣泛接受之不孕症療法。隨之而來的是一些罕見的併發 症以不尋常之比例被診斷出來。例如:合併子宮內外孕(heterotopic pregnancy),雙側子宮外 孕(bilateral tubal pregnancy),及子宮附屬器扭轉。我們報告一例經由人工生殖技術受孕之三 胞胎合併子宮附屬器扭轉的案例。此病患是藉由試管受精而懷孕。早期超音波診斷為子宮內 孕及三胞胎。於妊娠七週時因急性下腹劇痛,腹脹及大量內出血而施以開腹手術。右側卵巢 呈現腫大,扭轉,潰爛及出血的跡象。因病變之卵巢無法保留,故必須予以切除。雖切除之 卵巢內含黃體,但正常懷孕未受影響。此案例術前診斷因不尋常之臨床表現故有所困難。藉 由對人工生殖技術所引發之併發症的瞭解及Doppler超音波之應用,臨床醫師應可經由早期 診斷,對此類年輕之婦女施予較保守之療法。 |
英文摘要 | Assisted reproductive techniques (ART) are widely accepted procedures for infertile couples. Rare complications, like heterotopic pregnancy, bilateral tubal pregnancy, and adnexal torsion during pregnancy, have been dignosed with increasing frequency after ART. We present a case of an early triplet pregnancy complicated with adnexal torsion. The patient was pregnant through in vitro fertilization. Early ultrasound examination revealed a triplet pregnancy within the uterine cavity. At 7 weeks' gestational age, an acute onset of lower abdominal pain, progressive abdominal distension, and massive internal bleeding prompted emergency laparotomy. The right ovary was enlarged, twisted, necrotic and hemorrhagic. Attempts to preserve the ovary failed because of the friable nature of the affected ovary, and an oophorectomy had to be performed. Although the removed ovary contained a corpus luteum, the pregnancy continued smoothly after only short luteal support. A precise pre-surgery diagnosis in our case was difficult based on the patient's initial clinical presentation. However, with high clinical suspicion in addition to color Doppler ultrasound, the physician should be able to make an early decision for an exploratory laperotomy or laparoscopy, gaining the benefit of more conservative treatment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。