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目的:探讨超声检查在辅助生殖技术(assisted reproductive technology,ART)治疗后发生典型并发症诊疗中的应用价值。方法:对经ART治疗后发生1例重度卵巢过度刺激综合征(ovarian hyperstimulation syndrome,OHSS)合并双侧卵巢破裂出血、1例单侧输卵管双胎妊娠和1例超促排卵妊娠五胞胎病例进行超声检查分析研究。结果:1例重度OHSS卵巢破裂急性出血在超声图像上无特征性表现,主要是呈多房性的卵巢出血处组织局部迅速膨大,内部回声杂乱无章,边界不清,卵巢周围出现游离无回声。1例单侧输卵管双胎妊娠超声显示增粗的输卵管内2个孕囊。1例超促排卵妊娠五胞胎超声显示子宫内5个孕囊及胚芽。结论:ART时严格掌握促排卵尤其超促排卵助孕的合理应用,控制胚胎移植的数量,加强超声检查,检测卵泡发育,预测OHSS程度,及早检出宫外孕和多胎妊娠,以期母婴安全。
Objective: To investigate the value of ultrasonography in the diagnosis and treatment of typical complications after assisted reproductive technology (ART). Methods: One case of ovarian hyperstimulation syndrome (OHSS) complicated by bilateral ovarian rupture hemorrhage, one case of unilateral tubal twin pregnancy and one case of super-ovulation pregnancy-induced pregnancy were treated with ART. Ultrasound examination and analysis. Results: A case of severe OHSS with acute ovarian failure had no characteristic manifestations on the ultrasound images. The main part was multifocal ovarian hemorrhage where the tissue rapidly swollen locally, the internal echo was disorganized, the boundary was unclear, and there was no echo around the ovary. One case of unilateral tubal twin pregnancy ultrasound showed thickening of the two tubal sac within the fallopian tube. One case of hyperstimulation ovulation gestational five sons showed intrauterine 5 gestational sacs and germ. Conclusions: The rational application of ovulation induction, especially hyperactivity-assisted pregnancy, to control the number of embryo transfer, to strengthen the ultrasound examination, to detect follicular development, to predict the degree of OHSS, and to detect the ectopic pregnancy and multiple pregnancy as soon as possible in order to ensure the safety of mother and infant.