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目的探讨阴道超声引导下穿刺取卵术(简称取卵术)后腹腔内出血的高危因素、诊断及临床转归。方法回顾性分析11例取卵术后腹腔内出血患者的临床资料。结果 11例患者中,5例既往有盆腔手术史,3例取卵手术史,2例异位妊娠保守性治疗史。患者术后均有腹胀、腹痛、乏力,症状出现时间均在术后12h内,平均为(5.91±3.23)h。平均出血量为(1 829.09±673.64)ml。出血量与体质指数、获卵数均无相关性(P>0.05)。出血量与超声下盆腹腔液性暗区无相关性(P>0.05)。11例患者均保守治疗成功。结论盆腔手术史、取卵史和异位妊娠保守治疗史为取卵后腹腔内出血的高危因素。取卵后腹腔内出血多数发生在取卵后12h内。
Objective To investigate the risk factors, diagnosis and clinical outcome of intraperitoneal hemorrhage after transvaginal ultrasound guided puncture and ovulation. Methods The clinical data of 11 patients with intra-abdominal hemorrhage after ovulation were analyzed retrospectively. Results Among the 11 patients, 5 had history of pelvic surgery, 3 had oophorectomy, and 2 had conservative treatment of ectopic pregnancy. Patients had abdominal distension, abdominal pain and weakness after operation. The time of symptom onset was within 12 hours after operation, with an average of (5.91 ± 3.23) h. The average bleeding volume was (1829.09 ± 673.64) ml. There was no correlation between the amount of bleeding and body mass index or the number of oocytes retrieved (P> 0.05). There was no correlation between the amount of bleeding and the fluid peritoneal cavity darkness under ultrasound (P> 0.05). All 11 patients were treated conservatively. Conclusions The history of pelvic surgery, history of ovulation and history of conservative treatment of ectopic pregnancy are the risk factors for intra-abdominal hemorrhage after ovulation. Abdominal bleeding after ovulation most occurred within 12h after ovulation.