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題 名 | Primary Ovarian Pregnancy Following in Vitro Fertilization and Embryo Transfer: A Case Report=精蟲卵質顯微注射/胚胎植入術後發生之卵巢子宮外孕 |
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作 者 | 許榮麟; 潘世斌; 陳持平; 陳炳菖; 方嘉郎; | 書刊名 | 臺灣婦產科醫學會會刊雜誌 |
卷 期 | 42:4 2003.12[民92.12] |
頁 次 | 頁259-264 |
分類號 | 417.347 |
關鍵詞 | 精蟲卵質顯微注射; 試管嬰兒; 腹腔鏡; 卵巢子宮外孕; ICSI; IVF-ET; Laparoscopy; Ovarian pregnancy; |
語 文 | 英文(English) |
中文摘要 | 目的:卵巢子宮外孕不論是自然受孕也好或是在施行試管嬰兒術後也罷,其發生率都很低。在此我們提出一有關於施行精蟲卵質顯微注射/胚胎植入術後發生卵巢子宮外孕之病例報告;同時,我們也將討論在施行人工生殖技術後,造成卵巢子宮外孕的可能機制。病例報告:一位34歲,因男性因素造成不孕症的婦女,在本診所接受試管嬰兒〔精蟲卵質顯微注射〕治療,於胚胎植入後第31天,病人出現嚴重下腹脹痛的症狀,經超音波檢查及子宮後穹隆穿刺後發現疑似子宮外孕併內出血的現象。我們立刻為其施行腹腔鏡檢查,手術中發現右側卵巢破裂出血,而且輸卵管或腹膜都沒有子宮外孕的跡象,於是我們懷疑是右側卵巢子宮外孕,並將破裂部分施行楔狀切除。其後經病理報告證實確實為卵巢子宮外孕。結論:卵巢經過排卵藥刺激之後,要診斷或治療子宮外孕都比一般時候來得困難,尤其是卵巢子宮外孕更是如此。於是腹腔鏡手術成為最理想的診斷與治療利器。在此我們想提醒臨床醫師們,在施行人工生殖技術之後,一定不能忽略卵巢子宮外孕的可能性,如此才能減低病人生育能力的損傷與死亡率。 |
英文摘要 | Objective: An ovarian ectopic pregnancy is a rare form of ectopic pregnancy after either natural conception or in vitro fertilization-embryo transfer (IVF/ET). We report a case of ovarian pregnancy after intracytoplasmic sperm injection (ICSI) and embryo transfer. The possible mechanisms of an ovarian pregnancy following treatment with an assisted reproductive technique are discussed. Case Report(s): A 34-year-old woman had been treated with IVF/ET (ICSI) due to primary infertility resulting from male factor. She suffered from severe lower abdominal pain on day 31 after ET. An ectopic pregnancy with internal bleeding was suspected according to the findings of sonography and culdocentesis. Laparoscopy was performed. Because there was no evidence of tubal or pentoneal pregnancy, a wedge resection of the right ruptured ovary was performed under the impression of an ovarian pregnancy. Pathologic findings confirmed the diagnosis of an ovarian ectopic pregnancy. Conclusion(s): The diagnosis of and therapy for an ectopic pregnancy following ovarian hyperstimulation are far more difficult, especially with an ovarian ectopic pregnancy. Laparoscopy has become the ideal tool for the diagnosis and treatment of an ovarian ectopic pregnancy. To decrease patient’s morbidity and mortality, clinicians should consider the possibility of an ovarian ectopic pregnancy after treatment with assisted reproductive techniques. |
本系統中英文摘要資訊取自各篇刊載內容。