辅助生殖技术助孕宫颈妊娠合并结核复发一例
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摘要
目的:报道一例辅助生殖技术(ART)助孕后的宫颈妊娠合并结核复发,讨论其相关病因、诊断及治疗方法。方法:通过病例报道和相关文献复习,对宫颈妊娠的病因、诊断、治疗、结核复发以及与ART的关系进行分析。结果:宫颈妊娠合并结核发生率极低,一旦发生不良结果,对患者影响巨大,早期诊断和及时治疗尤为重要。结论:ART过程中对可疑结核复发患者要及时诊断、及早处理。
Objective:To report a case of the cervical pregnancy combined with tuberculosis recurrence after assisted reproductive technology(ART), and to discuss the etiology, diagnosis and treatment. Methods:A case of the cervical pregnancy combined with tuberculosis recurrence after ART was reported including its etiology, diagnosis and treatment, and the related literatures were reviewed. Results:This is a rare case, the cervical pregnancy combined with tuberculosis recurrence after assisted reproductive technology(ART). Although the incidence is extremely low, its adverse outcomes are terrible. The early diagnosis and timely treatment are particularly important. Conclusions:During the whole process of ART, the suspected tuberculosis recurrence should be early diagnosed and treated.
Objective:To report a case of the cervical pregnancy combined with tuberculosis recurrence after assisted reproductive technology(ART), and to discuss the etiology, diagnosis and treatment. Methods:A case of the cervical pregnancy combined with tuberculosis recurrence after ART was reported including its etiology, diagnosis and treatment, and the related literatures were reviewed. Results:This is a rare case, the cervical pregnancy combined with tuberculosis recurrence after assisted reproductive technology(ART). Although the incidence is extremely low, its adverse outcomes are terrible. The early diagnosis and timely treatment are particularly important. Conclusions:During the whole process of ART, the suspected tuberculosis recurrence should be early diagnosed and treated.
引文
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[14]刘桂芬,刘岚君,赖晓宇.妊娠时间与肺结核复发的相关性研究及诊治对策[J].临床肺科杂志,2013,18(11):2043-2045.
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[18]李嫣红,谢灿茂.妊娠期肺结核83例临床分析[J].新医学,2001,32(7):409-410.
[19]赵冰玲,韦立红,韦继红.接受辅助生殖技术治疗患者的心理健康状况及其心理干预措施的研究进展[J].中华妇幼临床医学杂志(电子版),2016,12(2):245-248.
[20]Singh N,Bahadur A,Mittal S,et al.Comparative analysis of endometrial blood flow on the day of h CG by 2D Doppler in two groups of women with or without genital tuberculosis undergoing IVF-ET in a developing country[J].Arch Gynecol Obstet,2011,283(1):115-120.
[21]Dam P,Shirazee HH,Goswami SK,et al.Role of latent genital tuberculosis in repeated IVF failure in the Indian clinical setting[J].Gynecol Obstet Invest,2006,61(4):223-227.
[2]丰有吉,沈铿.妇产科学[M].2版.北京:人民卫生出版社,2010:75.
[3]朱慧莉,黄薇.输卵管性不孕的流行病学及病因[J].国际生殖健康/计划生育杂志,2016,35(3):212-216.
[4]许华,朱瑾.宫颈妊娠17例临床分析[J].中华生殖与避孕杂志,2009,29(4):240-243.
[5]Yu B,Douglas NC,Guarnaccia MM,et al.Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy[J].Arch Gynecol Obstet,2009,279(5):721-724.
[6]郭江波,刘福岭.宫颈妊娠的研究进展[J].齐鲁医学杂志,2003,18(4):484-485.
[7]李秋敏,张莉莉.剖宫产瘢痕妊娠、宫颈妊娠治疗中宫腔镜的临床应用效果分析[J].临床医学研究与实践,2018,(6):82-83.
[8]Wang Y,Xu B,Dai S,et al.An efficient conservative treatment modality for cervical pregnancy:angiographic uterine artery embolization followed by immediate curettage[J].Am J Obstet Gynecol,2011,204(1):31.e1-e7.
[9]黎梅.米非司酮辅助甲氨蝶呤治疗宫颈妊娠的临床效果分析[J].中外医疗,2017,36(13):150-152.
[10]Lalvani A,Pareek M.A 100 year update on diagnosis of tuberculosis infection[J].Br Med Bull,2010,93:69-84.
[11]梁希江.结核病增多原因及控制对策[J].中国误诊学杂志,2009,9(36):8873-8874.
[12]史崑,姜宏宁.妊娠时间及妊娠与肺结核复发的关系[J].实用临床医学,2008,9(5):79-80.
[13]Mnyani CN,McIntyre JA.Tuberculosis in pregnancy[J].BJOG,2011,118(2):226-231.
[14]刘桂芬,刘岚君,赖晓宇.妊娠时间与肺结核复发的相关性研究及诊治对策[J].临床肺科杂志,2013,18(11):2043-2045.
[15]Zenner D,Kruijshaar ME,Andrews N,et al.Risk of tuberculosis in pregnancy:a national,primary care-based cohort and selfcontrolled case series study[J].Am J Respir Crit Care Med,2012,185(7):779-784.
[16]MalhaméI,Cormier M,Sugarman J,et al.Latent Tuberculosis in Pregnancy:A Systematic Review[J].PLoS One,2016,11(5):e0154825.
[17]Hongbo L,Li Z.Miliary tuberculosis after in vitro fertilization and embryo transplantation[J].Afr Health Sci,2015,15(2):701-704.
[18]李嫣红,谢灿茂.妊娠期肺结核83例临床分析[J].新医学,2001,32(7):409-410.
[19]赵冰玲,韦立红,韦继红.接受辅助生殖技术治疗患者的心理健康状况及其心理干预措施的研究进展[J].中华妇幼临床医学杂志(电子版),2016,12(2):245-248.
[20]Singh N,Bahadur A,Mittal S,et al.Comparative analysis of endometrial blood flow on the day of h CG by 2D Doppler in two groups of women with or without genital tuberculosis undergoing IVF-ET in a developing country[J].Arch Gynecol Obstet,2011,283(1):115-120.
[21]Dam P,Shirazee HH,Goswami SK,et al.Role of latent genital tuberculosis in repeated IVF failure in the Indian clinical setting[J].Gynecol Obstet Invest,2006,61(4):223-227.