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本文报道6例不孕患者经HMG+HCG诱发排卵过程中,出现卵泡过大而不排出或卵巢过度刺激综合症,在B超引导下经腹壁穿刺卵泡破泡排卵全部怀孕。其中2例卵巢过激病例,经穿刺卵泡抽液减压,使过激症状缓解并怀孕,但以后又发生流产;其余4例在诱发排卵48小时后,双侧卵巢发现多个增大卵泡但均<3.5cm,在穿刺破泡后发生双胎妊娠2例,3胎及单胎各1例。全组6人共妊娠11个胎儿,分娩8个.流产3个。结果显示:B超导向卵泡穿刺法,对卵泡过大不排,或卵巢过度刺激综合症患者是一种人工破泡排卵及治疗卵巢过激综合症的有效方法。文章对如何掌握穿刺卵泡的时限及有关多胎的处理等问题提出了讨论。
This article reports 6 cases of infertility patients induced by HMG + HCG ovulation process, the emergence of excessive ovarian follicles do not rule out ovarian hyperstimulation syndrome, under the guidance of the B-ultrasound abdominal puncture ovarian follicle ovulation all pregnant. Two cases of ovarian hyperstimulation, the puncture follicles pumping decompression, so that over-exacerbation of symptoms and pregnancy, but later miscarriage occurred; the remaining 4 cases in 48 hours after ovulation induction, multiple ovarian follicles were found in both ovarian increased < 3.5cm, twins puncture occurred after twin pregnancy in 2 cases, 3 cases of single and single in 1 case. The whole group of 6 people a total of 11 pregnancies fetus, childbirth 8. Abortion 3. The results show that: B super-directed follicular puncture, follicles are not too large row, or ovarian hyperstimulation syndrome patients is an artificial ovulation and treatment of ovarian hyperstimulation syndrome is an effective method. The article discusses how to grasp the timing of puncture follicles and the handling of multiple births.