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目的:报道1例门诊促排卵后五胎妊娠减胎术。方法:28岁女性,PCOS史,门诊hMG促排卵治疗,卵泡成熟后注射hCG。自然受孕,孕15周就诊,B超提示五绒毛膜五羊膜囊五胎妊娠,于孕16周在B超引导下,使用脐静脉穿刺针穿刺进入胎心,向2个胎心分别注入100 mg/ml KC1行减胎术,3 d后同法再减一胎。结果:顺利减灭三胎,无不适主诉,无腹痛、阴道出血等。孕36+3周顺产二子,体健。结论:PCOS患者促排卵应采用低剂量FSH,缓慢加量,排卵后应加强随访。减胎术可降低多胎妊娠的不良影响,但更应避免其发生。
OBJECTIVE: To report one case of five-fetus pregnancy reduction after ovulation induction. Methods: A 28-year-old woman with history of PCOS and outpatient hMG was given ovulation induction treatment. After the follicle was mature, hCG was injected. Natural pregnancy, 15 weeks of treatment, B-prompted five chorionic amniotic membrane Wu Wu pregnancy, 16 weeks pregnant in the B-guided, the use of umbilical vein puncture needle into the fetal heart rate, fetal heart rate were injected into two 100 mg / ml KC1 line abortion, 3 days after the same law and then reduce the child. Results: The successful reduction of the third trimester, no complaints, no abdominal pain, vaginal bleeding. 36 + 3 weeks of pregnancy, two sons, physical health. Conclusion: PCOS patients should be low-dose ovulation induction FSH, slow dosage, follow-up should be strengthened after ovulation. Abortion can reduce the adverse effects of multiple pregnancy, but should avoid its occurrence.