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目的:报道1例自然妊娠合并自发性卵巢过度刺激综合征(sOHSS)病例。方法:回顾性分析我院1例自然妊娠合并sOHSS患者的临床资料,并复习相关文献。结果:该患者于孕39周行子宫下段剖宫产术,同时行双侧卵巢楔形切除术+双侧卵巢打孔术。术中快速病理检查及术后常规病理检查结果示双侧卵巢黄素化囊肿。术后患者双侧卵巢迅速恢复正常。最终诊断为妊娠合并sOHSS。结论:妇产科医生需对sOHSS有充分的认识,需与卵巢肿瘤性疾病进行鉴别,以免因误诊而采取不适当的治疗。
Objective: To report a case of natural pregnancy complicated with spontaneous ovarian hyperstimulation syndrome (sOHSS). Methods: A retrospective analysis of our hospital 1 cases of natural pregnancy with sOHSS clinical data, and review the relevant literature. Results: The patient underwent 39 cases of uterine segment cesarean section at the third trimester of pregnancy. At the same time, bilateral ovarian wedge resection plus bilateral ovarian drilling was performed. Intraoperative rapid pathological examination and postoperative routine pathological examination showed bilateral luteinized ovarian cysts. Patients with bilateral ovaries quickly returned to normal. The final diagnosis of pregnancy combined with sOHSS. CONCLUSIONS: Obstetricians and gynecologists need to have a good understanding of sOHSS and need to be differentiated from ovarian neoplastic diseases in order to avoid inappropriate treatment due to misdiagnosis.