预防中度和严重的卵巢过度刺激综合征:指南
Fertility and sterility
|December 15, 2023
概括
卵巢过度刺激综合征 (OHSS) 是辅助生殖技术中的一个风险. 本审查确定了高风险患者和OHSS的预防策略,更新了2016年的指南.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 临床产科和妇科 临床产科和妇科
背景情况:
- 卵巢过度刺激综合征 (OHSS) 是辅助生殖技术 (ART) 的一个重要并发症.
- 之前的OHSS管理指南于2016年发布.
- 识别有风险的个体和有效的预防对于ART患者的安全至关重要.
研究的目的:
- 系统地审查和识别患有高风险发展OHSS的患者群体.
- 评估和提出基于证据的预防OHSS的战略.
- 更新并取代之前的2016年关于OHSS的指南.
主要方法:
- 系统性文献审查方法.
- 在ART中包括着重于风险因素和预防OHSS的研究.
- 综合证据以指导临床实践.
主要成果:
- 确定关键的人口,临床和与治疗相关的OHSS风险因素.
- 有效的预防措施的总结,包括药理和程序干预措施.
- 现有证据与2016年指南调查结果的比较.
结论:
- 在个性化的ART协议中,OHSS风险分层是必不可少的.
- 基于证据的预防策略的实施可以显著减少OHSS的发生率和严重程度.
- 本更新的综述提供了当前关于管理ART中的OHSS风险的建议.
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