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Гиперстимуляция яичников: современная тактика ведения пациенток
Гиперстимуляция яичников: современная тактика ведения пациенток
Доброхотова Ю.Э., Боровкова Е.И. Гиперстимуляция яичников: современная тактика ведения пациенток. Гинекология. 2017; 19 (2): 19–22.
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Аннотация
В статье представлены современные данные о синдроме гиперстимуляции яичников. Даны классификация, критерии оценки тяжести, и в алгоритмичной форме приведен лечебно-диагностический подход к ведению пациенток. Отдельно освещены вопросы профилактики тромбоэмболических осложнений.
Ключевые слова: синдром гиперстимуляции яичников, тромбоэмболия, асцит, беременность.
Key words: ovarian hyperstimulation syndrome, pulmonary embolism, ascites, pregnancy.
Ключевые слова: синдром гиперстимуляции яичников, тромбоэмболия, асцит, беременность.
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Key words: ovarian hyperstimulation syndrome, pulmonary embolism, ascites, pregnancy.
Полный текст
Список литературы
1. Whelan JG, Vlahos NF. The ovarian hyperstimulation syndrome. Fertil Steril 2000; 73: 883.
2. Binder H, Dittrich R, Einhaus F et al. Update on ovarian hyperstimulation syndrome: Part 1. Incidence and pathogenesis. Int J Fertil Womens Med 2007; 52: 11.
3. http://www.rcpi.ie/content/docs/000001/654_5_media.pdf
4. Fiedler K, Ezcurra D. Predicting and preventing ovarian hyperstimulation syndrome (OHSS): the need for individualized not standardized treatment. Reprod Biol Endocrinol 2012; 10: 32.
5. Practice Committee of American Society for Reproductive Medicine. Ovarian hyperstimulation syndrome. Fertil Steril 2008; 90: S188.
6. Joint Society of Obstetricians and Gynaecologists of Canada-Canadian Fertility Andrology Society Clinical Practice Guidelines Committee, Reproductive Endocrinology and Infertility Committee of the SOGC, Executive and Council of the Society of Obstetricians, et al. The diagnosis and management of ovarian hyperstimulation syndrome. J Obstet Gynaecol Can 2011; 33: 1156.
7. Levin I, Almog B, Avni A et al. Effect of paracentesis of ascitic fluids on urinary output and blood indices in patients with severe ovarian hyperstimulation syndrome. Fertil Steril 2002; 77: 986.
8. Hanevik HI, Hilmarsen HT, Skjelbred CF et al. A single nucleotide polymorphism in BMP15 is associated with high response to ovarian stimulation. Reprod Biomed Online 2011; 23: 97.
9. Maslovitz S, Jaffa A, Eytan O et al. Renal blood flow alteration after paracentesis in women with ovarian hyperstimulation. Obstet Gynecol 2004; 104: 321.
10. Busso CE, Garcia-Velasco JA, Gomez R et al. Ovarian hyperstimulation syndrome. In: Infertility and assisted reproduction, Rizk B, Garcia-Velasco JA, Sallam HM, Makrigiannakis A (Eds). Cambridge: Cambridge University Press, UK, 2008; p. 243.
11. Nouri K, Tempfer CB, Lenart C et al. Predictive factors for recovery time in patients suffering from severe OHSS. Reprod Biol Endocrinol 2014; 12: 59.
12. Tang OS, Ng EH, Wai Cheng P, Chung Ho P. Cortical vein thrombosis misinterpreted as intracranial haemorrhage in severe ovarian hyperstimulation syndrome: case report. Hum Reprod 2000; 15: 1913.
13. Arya R, Shehata HA, Patel RK et al. Internal jugular vein thrombosis after assisted conception therapy. Br J Haematol 2001; 115: 153.
14. Dulitzky M, Cohen SB, Inbal A et al. Increased prevalence of thrombo-philia among women with severe ovarian hyperstimulation syndrome. Fertil Steril 2002; 77: 463.
2. Binder H, Dittrich R, Einhaus F et al. Update on ovarian hyperstimulation syndrome: Part 1. Incidence and pathogenesis. Int J Fertil Womens Med 2007; 52: 11.
3. http://www.rcpi.ie/content/docs/000001/654_5_media.pdf
4. Fiedler K, Ezcurra D. Predicting and preventing ovarian hyperstimulation syndrome (OHSS): the need for individualized not standardized treatment. Reprod Biol Endocrinol 2012; 10: 32.
5. Practice Committee of American Society for Reproductive Medicine. Ovarian hyperstimulation syndrome. Fertil Steril 2008; 90: S188.
6. Joint Society of Obstetricians and Gynaecologists of Canada-Canadian Fertility Andrology Society Clinical Practice Guidelines Committee, Reproductive Endocrinology and Infertility Committee of the SOGC, Executive and Council of the Society of Obstetricians, et al. The diagnosis and management of ovarian hyperstimulation syndrome. J Obstet Gynaecol Can 2011; 33: 1156.
7. Levin I, Almog B, Avni A et al. Effect of paracentesis of ascitic fluids on urinary output and blood indices in patients with severe ovarian hyperstimulation syndrome. Fertil Steril 2002; 77: 986.
8. Hanevik HI, Hilmarsen HT, Skjelbred CF et al. A single nucleotide polymorphism in BMP15 is associated with high response to ovarian stimulation. Reprod Biomed Online 2011; 23: 97.
9. Maslovitz S, Jaffa A, Eytan O et al. Renal blood flow alteration after paracentesis in women with ovarian hyperstimulation. Obstet Gynecol 2004; 104: 321.
10. Busso CE, Garcia-Velasco JA, Gomez R et al. Ovarian hyperstimulation syndrome. In: Infertility and assisted reproduction, Rizk B, Garcia-Velasco JA, Sallam HM, Makrigiannakis A (Eds). Cambridge: Cambridge University Press, UK, 2008; p. 243.
11. Nouri K, Tempfer CB, Lenart C et al. Predictive factors for recovery time in patients suffering from severe OHSS. Reprod Biol Endocrinol 2014; 12: 59.
12. Tang OS, Ng EH, Wai Cheng P, Chung Ho P. Cortical vein thrombosis misinterpreted as intracranial haemorrhage in severe ovarian hyperstimulation syndrome: case report. Hum Reprod 2000; 15: 1913.
13. Arya R, Shehata HA, Patel RK et al. Internal jugular vein thrombosis after assisted conception therapy. Br J Haematol 2001; 115: 153.
14. Dulitzky M, Cohen SB, Inbal A et al. Increased prevalence of thrombo-philia among women with severe ovarian hyperstimulation syndrome. Fertil Steril 2002; 77: 463.
2. Binder H, Dittrich R, Einhaus F et al. Update on ovarian hyperstimulation syndrome: Part 1. Incidence and pathogenesis. Int J Fertil Womens Med 2007; 52: 11.
3. http://www.rcpi.ie/content/docs/000001/654_5_media.pdf
4. Fiedler K, Ezcurra D. Predicting and preventing ovarian hyperstimulation syndrome (OHSS): the need for individualized not standardized treatment. Reprod Biol Endocrinol 2012; 10: 32.
5. Practice Committee of American Society for Reproductive Medicine. Ovarian hyperstimulation syndrome. Fertil Steril 2008; 90: S188.
6. Joint Society of Obstetricians and Gynaecologists of Canada-Canadian Fertility Andrology Society Clinical Practice Guidelines Committee, Reproductive Endocrinology and Infertility Committee of the SOGC, Executive and Council of the Society of Obstetricians, et al. The diagnosis and management of ovarian hyperstimulation syndrome. J Obstet Gynaecol Can 2011; 33: 1156.
7. Levin I, Almog B, Avni A et al. Effect of paracentesis of ascitic fluids on urinary output and blood indices in patients with severe ovarian hyperstimulation syndrome. Fertil Steril 2002; 77: 986.
8. Hanevik HI, Hilmarsen HT, Skjelbred CF et al. A single nucleotide polymorphism in BMP15 is associated with high response to ovarian stimulation. Reprod Biomed Online 2011; 23: 97.
9. Maslovitz S, Jaffa A, Eytan O et al. Renal blood flow alteration after paracentesis in women with ovarian hyperstimulation. Obstet Gynecol 2004; 104: 321.
10. Busso CE, Garcia-Velasco JA, Gomez R et al. Ovarian hyperstimulation syndrome. In: Infertility and assisted reproduction, Rizk B, Garcia-Velasco JA, Sallam HM, Makrigiannakis A (Eds). Cambridge: Cambridge University Press, UK, 2008; p. 243.
11. Nouri K, Tempfer CB, Lenart C et al. Predictive factors for recovery time in patients suffering from severe OHSS. Reprod Biol Endocrinol 2014; 12: 59.
12. Tang OS, Ng EH, Wai Cheng P, Chung Ho P. Cortical vein thrombosis misinterpreted as intracranial haemorrhage in severe ovarian hyperstimulation syndrome: case report. Hum Reprod 2000; 15: 1913.
13. Arya R, Shehata HA, Patel RK et al. Internal jugular vein thrombosis after assisted conception therapy. Br J Haematol 2001; 115: 153.
14. Dulitzky M, Cohen SB, Inbal A et al. Increased prevalence of thrombo-philia among women with severe ovarian hyperstimulation syndrome. Fertil Steril 2002; 77: 463.
________________________________________________
2. Binder H, Dittrich R, Einhaus F et al. Update on ovarian hyperstimulation syndrome: Part 1. Incidence and pathogenesis. Int J Fertil Womens Med 2007; 52: 11.
3. http://www.rcpi.ie/content/docs/000001/654_5_media.pdf
4. Fiedler K, Ezcurra D. Predicting and preventing ovarian hyperstimulation syndrome (OHSS): the need for individualized not standardized treatment. Reprod Biol Endocrinol 2012; 10: 32.
5. Practice Committee of American Society for Reproductive Medicine. Ovarian hyperstimulation syndrome. Fertil Steril 2008; 90: S188.
6. Joint Society of Obstetricians and Gynaecologists of Canada-Canadian Fertility Andrology Society Clinical Practice Guidelines Committee, Reproductive Endocrinology and Infertility Committee of the SOGC, Executive and Council of the Society of Obstetricians, et al. The diagnosis and management of ovarian hyperstimulation syndrome. J Obstet Gynaecol Can 2011; 33: 1156.
7. Levin I, Almog B, Avni A et al. Effect of paracentesis of ascitic fluids on urinary output and blood indices in patients with severe ovarian hyperstimulation syndrome. Fertil Steril 2002; 77: 986.
8. Hanevik HI, Hilmarsen HT, Skjelbred CF et al. A single nucleotide polymorphism in BMP15 is associated with high response to ovarian stimulation. Reprod Biomed Online 2011; 23: 97.
9. Maslovitz S, Jaffa A, Eytan O et al. Renal blood flow alteration after paracentesis in women with ovarian hyperstimulation. Obstet Gynecol 2004; 104: 321.
10. Busso CE, Garcia-Velasco JA, Gomez R et al. Ovarian hyperstimulation syndrome. In: Infertility and assisted reproduction, Rizk B, Garcia-Velasco JA, Sallam HM, Makrigiannakis A (Eds). Cambridge: Cambridge University Press, UK, 2008; p. 243.
11. Nouri K, Tempfer CB, Lenart C et al. Predictive factors for recovery time in patients suffering from severe OHSS. Reprod Biol Endocrinol 2014; 12: 59.
12. Tang OS, Ng EH, Wai Cheng P, Chung Ho P. Cortical vein thrombosis misinterpreted as intracranial haemorrhage in severe ovarian hyperstimulation syndrome: case report. Hum Reprod 2000; 15: 1913.
13. Arya R, Shehata HA, Patel RK et al. Internal jugular vein thrombosis after assisted conception therapy. Br J Haematol 2001; 115: 153.
14. Dulitzky M, Cohen SB, Inbal A et al. Increased prevalence of thrombo-philia among women with severe ovarian hyperstimulation syndrome. Fertil Steril 2002; 77: 463.
Авторы
Ю.Э.Доброхотова, Е.И.Боровкова*
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*katyanikitina@mail.ru
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*katyanikitina@mail.ru
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1
*katyanikitina@mail.ru
________________________________________________
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1
*katyanikitina@mail.ru
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