CAJ | 학술논문

目的：探讨输卵管积水不同预处理方法对体外受精-胚胎移植(IVF-ET)的影响的差异性。方法选择160例行IVF-ET的输卵管积水患者，随机分为2组：以80例行输卵管栓堵术患者为研究组；以同期进行的80例行输卵管切除术患者为对照组，比较2组治疗后对卵巢功能的影响及IVF-ET治疗的差异性。结果研究组与对照组间平均获卵数、受精率、临床妊娠率等指标无统计学差异(P>0.05)，但高于对照组；2组间早期流产率差异无统计学意义(P>0.05)，输卵管妊娠率低于对照组，差异有统计学意义(P<0.05)。结论输卵管栓堵术是一种积水预处理的行之有效的方法，在对卵巢功能及 IVF-ET治疗指标方面的影响，部分优于妇科手术治疗，其在体外 IVF-ET中的应用前景广阔。
목적：탐토수란관적수불동예처리방법대체외수정-배태이식(IVF-ET)적영향적차이성。방법선택160례행IVF-ET적수란관적수환자，수궤분위2조：이80례행수란관전도술환자위연구조；이동기진행적80례행수란관절제술환자위대조조，비교2조치료후대란소공능적영향급IVF-ET치료적차이성。결과연구조여대조조간평균획란수、수정솔、림상임신솔등지표무통계학차이(P>0.05)，단고우대조조；2조간조기유산솔차이무통계학의의(P>0.05)，수란관임신솔저우대조조，차이유통계학의의(P<0.05)。결론수란관전도술시일충적수예처리적행지유효적방법，재대란소공능급 IVF-ET치료지표방면적영향，부분우우부과수술치료，기재체외 IVF-ET중적응용전경엄활。
Objective To explore the difference of the impact with different hydrosalpinx pretreatment methods in vitro fertiliza-tion-embryo transfer ﹝ IVF-ET ﹞.Methods 160 patients with routine IVF-ET’s hydrosalpinx were random divided into two groups :the first 80 patients undergoing routine bolt blocking the fallopian tubes for the study group;the other 80 patients with rou-tine salpingectomy as control group patients,after treatment,compare the difference on ovarian function between the two groups.Re-sults In the study group,although these difference,the average number of oocytes,fertilization rate,clinical pregnancy rate and other indicators,were not statistically significant (P>0.05),they were higher than the control group;early abortion rate was no significant difference either (P>0.05),but the tubal pregnancy rate was lower than the control group,and the difference was statis-tically significant (P<0.05).Conclusion Tubal bolt blocking technique is an effective method for hydrosalpinx pretreatment,and partly superior than gynecological surgery for keeping ovarian function and IVF-ET treatment targets.So,it has a broad application prospects in vitro fertilization-embryo transfer.