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Clinical manifestations and risk factors of severe ovarian hyperstimulation syndrome by IVF-ET / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology ; : 634-641, 2008.
Artigo em Coreano | WPRIM | ID: wpr-209372
ABSTRACT

OBJECTIVE:

The aim of this study is to determine the incidence, clinical predictors, clinical manifestations of severe ovarian hyperstimulation syndrome in a large group.

METHODS:

A retrospective analysis of all IVF-ET cycles was performed from January 2005 to October 2007. We analysed incidence of severe OHSS and clinical manifestation. We assessed transvaginal number of follicles on hCG, serum estradiol, numbers of oocytes as the predictive factors comparing severe OHSS group and control group. Chi-square test and Student's t-test were used. Pleural effusion group was assessed identically.

RESULTS:

6,292 IVF-ET cycles were undertaken in which 133 cycles of severe OHSS was developed (incidence 2.11%). Patients age, transvaginal number of follicles on hCG, serum estradiol, numbers of oocytes were high in severe OHSS group and lately developed OHSS patients were all pregnant. 43.6% of severe OHSS were diagnosed polycystic ovarian syndrome. Pleural effusion was develop in 28 patients (incidence 0.45%) and there were no predictive factor of pleural efusion.

CONCLUSIONS:

The incidence of severe OHSS was 2.11%. The protocol of controlled ovarian hyperstimulation did not affect the incidence of severe OHSS. Transvaginal number of follicles on hCG, serum estradiol, numbers of oocytes, PCOS, pregnancy were meaningful risk factors. There were no predicting factor for the pleural effusion of severe OHSS.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Oócitos / Derrame Pleural / Síndrome do Ovário Policístico / Incidência / Estudos Retrospectivos / Fatores de Risco / Síndrome de Hiperestimulação Ovariana / Estradiol Tipo de estudo: Estudo de etiologia / Guia de Prática Clínica / Estudo de incidência / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Feminino / Humanos / Gravidez Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Ano de publicação: 2008 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Oócitos / Derrame Pleural / Síndrome do Ovário Policístico / Incidência / Estudos Retrospectivos / Fatores de Risco / Síndrome de Hiperestimulação Ovariana / Estradiol Tipo de estudo: Estudo de etiologia / Guia de Prática Clínica / Estudo de incidência / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Feminino / Humanos / Gravidez Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Ano de publicação: 2008 Tipo de documento: Artigo