经阴道取卵后腹腔内出血致急腹症
摘要
随着辅助生殖技术的广泛开展,临床医生对于卵巢过度刺激综合征(OHSS)这类相对常见的并发症不再陌生,但对于经阴道取卵(TVOR)后腹腔内出血这种少见并发症则没有充分的警惕意识。穿刺术后腹腔内出血与OHSS无论从病理基础上,还是临床表现上均有显著的差别,应予以准确及时的鉴别诊断,以免造成损失卵巢的结局。另外强调腹腔穿刺对于急腹症鉴别诊断的重要性,对于性质不明的腹腔内大量积液,果断穿刺对于鉴别诊断和制定治疗策略至关重要。
引文
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[3]Liberty G,Hyman JH,Eldar-Geva T,et al.Ovarian hemorrhage after transvaginal ultrasonographically guided oocyte aspiration:apotentially catastrophic and not so rare complication among lean patients with polycystic ovary syndrome[J].Fertil Steril,2010,93:874-879.
[4]Nouri K,Walch K,Promberger R,et al.Severe haematoperitoneum caused by ovarian bleeding after transvaginal oocyte retrieval:A retrospective analysis and systematic literature review[J/OL].Reprod Biomed Online,2014,29:699-707.
[5]Namavar J,Parsanezhad M,Shomali Z,et al.Ovarian hyperstimulation syndrome:a narrative review of its pathophysiology,risk factors,prevention,classification,and management[J].Iran J Med Sci,2018 43:248-260.