严重的卵巢过度刺激综合征与水胸的临床特征
Xiaowei Ma1,2,3,4, Jingwen Yin1,2,3,4, Rui Yang1,2,3,4
1Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
严重的卵巢过度刺激综合征 (OHSS) 与水胸部显示较轻微的症状和实验室结果比单独的炎. 水胸部的存在和体积不会影响IVF-ET后的活产率.
科学领域:
- 生殖医学 生殖医学
- 产科和妇科 产科和妇科
- 关键护理医学 关键护理医学
背景情况:
- 严重的卵巢过度刺激综合征 (OHSS) 是体外受精 (IVF) 的严重并发症.
- 在严重的OHSS中,胸水,在腔空间中存在液体,可以与结一起发生.
- 水胸与OHSS严重程度或怀孕结果之间的关联需要澄清.
研究的目的:
- 调查严重的OHSS中水胸是否与更严重的临床条件有关.
- 为了确定水胸膜是否会影响IVF-ET接受试管婴儿的患者的妊娠结果.
- 为了比较严重的OHSS患者的临床特征和结果,单独患有炎,与患有炎和水胸患者相比.
主要方法:
- 在IVF-ET之后,对868名患有严重OHSS的患者的临床数据进行了回顾性分析.
- 患者被分为两组:单独 (n=417) 和带有水胸 (n=451) 的.
- 两组之间的临床表现,实验室标记和活产率的比较.
主要成果:
- 在严重的OHSS患者中,超过50%的患者呈现出水胸部和胸,主要是双边和中度的.
- 与单独的炎组相比,炎与水胸部组的临床症状和实验室发现 (WBC,HCT,卵巢直径) 较少严重.
- 水胸部的存在和体积不是IVF-ET中活产结果的独立风险因素.
结论:
- 严重的OHSS与水胸部和结有关于较轻的临床和实验室资料,而不是严重的OHSS与单独的结.
- 水胸的发生或程度不会独立地影响IVF-ET后的活产成功率.
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