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在辅助生殖技术后异型三胞胎怀孕:系统性审查

Ioannis Korkontzelos¹, Petros Papalexis², Vasiliki E Georgakopoulou³

¹Department of Obstetrics and Gynecology, Ioannina State General Hospital "G. Chatzikosta", Ioannina, GRC.

|January 21, 2025

概括

不同类型三胎妊娠是一种罕见的疾病,涉及同时的子宫内和子宫外胚胎,越来越多地与辅助生殖技术有关. 早期诊断和管理对于最佳的孕产妇和胎儿结果至关重要.

科学领域:

生殖医学生殖医学
妇科妇科医生妇科
产科产科产科产科产科

背景情况:

异种妊娠,即子宫内和子宫外怀孕同时发生,很少见.
不同类型的三胎妊娠,涉及三个胚胎,至少有一个异卵性,非常罕见.
辅助生殖技术 (ART) 导致非自发异型三胎妊娠的增加.

研究的目的:

为提供异型三胎妊娠在排卵诱导和ART后的分析概述.
审查到2023年12月的英语文献中报告的病例.
为了确定用于管理这种罕见疾病的临床信息.

主要方法:

在ART后对异型三胎妊娠的文献综述.
在PubMed,Scopus和Google Scholar上进行的搜索.
分析了57例报告的病例,记录了各种临床和产科参数.

主要成果:

在这些情况下,异胎妊娠最常见的部位是salpinx.
错误诊断或延迟诊断仍然是一个挑战,尽管有可能危及生命.
在治疗策略上没有共识,数据主要来自病例报告.

结论:

ART增加了异型三胎妊娠的风险.
建议每周期最多转移两个胚胎,以最大限度地减少多胎妊娠.
警,早期诊断和适当的干预措施对于IVF后的高风险怀孕至关重要.

关键词:

辅助生殖技术是一种辅助生殖技术.宫外破裂发生在子宫外.发生出血发生出血不同类型的三胎妊娠在体外受精体外受精.

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