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近20年来,在治疗性诱发排卵方面取得很大进展,然而该种治疗的两大并发症,即卵巢过度刺激综合征(Ovarian Hyperstimulation syndrome简称OHSS)和多胎妊娠的发生率亦相应升高。前者在适当监护下几可完全防止,而后者尚难控制。Hull等认为无排卵妇女(原发性卵巢衰竭者除外)的妊娠率和分娩率可和正常妇女相仿,但其多胎率仍然较高。因诱发排卵而发生9胎、8胎、7胎和6胎妊娠的文献屡见。鉴于常伴母体病率和妊娠不良结局,包括晚期流产,早产造成的高围产期死亡率及病率,因此,应将多胎妊娠作为并发症对待。本文回顾诱发排卵导致多胎妊娠的有关资料,综述
In the past two decades, great progress has been made in the treatment of ovulation. However, the two major complications of this treatment, Ovarian Hyperstimulation syndrome (OHSS) and the incidence of multiple pregnancies, are also correspondingly increased. The former can be completely prevented under appropriate guardianship while the latter is hard to control. Hull and other women who think no anovulation (except for primary ovarian failure) pregnancy rate and delivery rate can be similar to normal women, but the rate of multiple births is still high. Occurrence of ovulation caused by 9, 8, 7, and 6-pregnancy pregnancy is common literature. In view of the high rates of perinatal mortality and morbidity associated with maternal morbidity and adverse pregnancy outcomes, including late abortion and preterm delivery, multiple pregnancies should be treated as a complication. This article reviews ovulation induced multiple pregnancy related information, review