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目的探讨体外受精合并中度卵巢过度刺激综合征(OHSS)患者的妊娠结局。方法选本院收治的体外受精合并中度OHSS并继发妊娠患者50例作为研究组,分析孕妇妊娠合并症、分娩情况以及新生儿预后等情况,并与同期自然受孕分娩孕妇进行对比分析。结果研究组早期先兆流产、妊娠期糖尿病、妊娠期糖耐量异常以及双胎妊娠发生率和剖宫产率明显高于对照组。结论体外受精合并中度OHSS孕妇早期先兆流产、妊娠期糖尿病、糖耐量异常以及双胎妊娠发生率会升高,分娩方式多采用剖宫产,对围产儿的结局造成影响较小。
Objective To investigate the pregnancy outcome of patients with in vitro fertilization combined with moderate ovarian hyperstimulation syndrome (OHSS). Methods Fifty cases of in-vitro fertilization combined with moderate OHSS and secondary pregnancy admitted to our hospital were selected as the study group to analyze the situation of pregnancy complications, childbirth and the prognosis of newborns, and compared with the pregnant women of the same period. Results In the study group, the incidence of threatened abortion, gestational diabetes, gestational impaired glucose tolerance, twin pregnancy rate and cesarean section rate were significantly higher than those in the control group. Conclusion The incidence of threatened miscarriage, gestational diabetes mellitus, impaired glucose tolerance and twin pregnancy may increase in IVF patients with moderate OHSS. Cesarean section is the most common mode of delivery and has a less effect on perinatal outcomes.