CAJ | 학술논문

在体外受精-胚胎移植的治疗中，合并子宫内膜异位囊肿的患者结局不良。因此，在采取辅助生殖技术进行治疗前，是否需要手术剥除子宫内膜异位囊肿是临床医生的困惑。近年越来越多的研究发现，手术剥除子宫内膜异位囊肿会损害卵巢储备功能，降低卵巢反应性，手术后患者接受体外受精-胚胎移植治疗的结局并无显著改善。手术引起的损伤与手术过程、术者经验、手术方式都有关。在接受体外受精治疗前，手术剥除子宫内膜异位囊肿对患者并无显著益处，只有在某些特殊情况下才应考虑。
재체외수정-배태이식적치료중，합병자궁내막이위낭종적환자결국불량。인차，재채취보조생식기술진행치료전，시부수요수술박제자궁내막이위낭종시림상의생적곤혹。근년월래월다적연구발현，수술박제자궁내막이위낭종회손해란소저비공능，강저란소반응성，수술후환자접수체외수정-배태이식치료적결국병무현저개선。수술인기적손상여수술과정、술자경험、수술방식도유관。재접수체외수정치료전，수술박제자궁내막이위낭종대환자병무현저익처，지유재모사특수정황하재응고필。
Patients with endometrioma always have poor IVF outcomes. Before IVF-ET, it is a problem whether to remove surgically endometrioma. Recently,a growing number of studies found that the surgery to remove ovrian endometrioma did not improve IVF outcomes because of the damaged ovarian reserve and lowered responsiveness to gonadotrophins. Meanwhile, the damage degree of surgery is related with operative procedure, surgeons’ experience, and surgical approach. In a word, surgery is not benefit to patients with endometrioma before IVF treatment. The ovarian endometrioma is considered to be treated surgically only under a few special conditions.