天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2014年
11期
1124-1126
,共3页
受精,体外%胚胎移植%输卵管积液%输卵管介入栓塞%腹腔镜输卵管伞端造口%腹腔镜输卵管切除
受精,體外%胚胎移植%輸卵管積液%輸卵管介入栓塞%腹腔鏡輸卵管傘耑造口%腹腔鏡輸卵管切除
수정,체외%배태이식%수란관적액%수란관개입전새%복강경수란관산단조구%복강경수란관절제
fertilization in vitro%embryo transfer%hydrosalpinx%fallopian tube embolization%laparoscopic tubal um-brella end colostomy%laparoscopic tubal excision
目的：探讨体外受精与胚胎移植（IVF-ET）前输卵管积液的3种不同处理方式对IVF-ET结局的影响。方法回顾分析2011年1月—2013年12月因输卵管因素不孕（输卵管积液）而接受IVF-ET治疗的731个治疗周期的资料。按移植前输卵管积液的处理方式分为4组：输卵管介入栓塞组（栓塞组），共257个治疗周期；腹腔镜输卵管伞端造口组（造口组）：共193个治疗周期；腹腔镜输卵管切除组（切除组）：共198个治疗周期；对照组，即移植前未针对输卵管积液做任何处理，共83个治疗周期。结果在控制性超排卵主要指标（窦卵泡数、促性腺激素用量、获卵数）比较中，栓塞组、造口组及对照组均优于切除组；在IVF-ET主要指标（胚胎植入率、临床妊娠率、流产率）比较中，栓塞组、切除组优于造口组，而造口组又优于对照组；在输卵管妊娠率比较中，则是栓塞组、切除组最低，造口组次之，对照组最高。结论移植前针对输卵管积液的3种处理方法均对IVF-ET的结局有积极影响，其中输卵管介入栓塞术与其他2种方法相比有一定优势。
目的：探討體外受精與胚胎移植（IVF-ET）前輸卵管積液的3種不同處理方式對IVF-ET結跼的影響。方法迴顧分析2011年1月—2013年12月因輸卵管因素不孕（輸卵管積液）而接受IVF-ET治療的731箇治療週期的資料。按移植前輸卵管積液的處理方式分為4組：輸卵管介入栓塞組（栓塞組），共257箇治療週期；腹腔鏡輸卵管傘耑造口組（造口組）：共193箇治療週期；腹腔鏡輸卵管切除組（切除組）：共198箇治療週期；對照組，即移植前未針對輸卵管積液做任何處理，共83箇治療週期。結果在控製性超排卵主要指標（竇卵泡數、促性腺激素用量、穫卵數）比較中，栓塞組、造口組及對照組均優于切除組；在IVF-ET主要指標（胚胎植入率、臨床妊娠率、流產率）比較中，栓塞組、切除組優于造口組，而造口組又優于對照組；在輸卵管妊娠率比較中，則是栓塞組、切除組最低，造口組次之，對照組最高。結論移植前針對輸卵管積液的3種處理方法均對IVF-ET的結跼有積極影響，其中輸卵管介入栓塞術與其他2種方法相比有一定優勢。
목적：탐토체외수정여배태이식（IVF-ET）전수란관적액적3충불동처리방식대IVF-ET결국적영향。방법회고분석2011년1월—2013년12월인수란관인소불잉（수란관적액）이접수IVF-ET치료적731개치료주기적자료。안이식전수란관적액적처리방식분위4조：수란관개입전새조（전새조），공257개치료주기；복강경수란관산단조구조（조구조）：공193개치료주기；복강경수란관절제조（절제조）：공198개치료주기；대조조，즉이식전미침대수란관적액주임하처리，공83개치료주기。결과재공제성초배란주요지표（두란포수、촉성선격소용량、획란수）비교중，전새조、조구조급대조조균우우절제조；재IVF-ET주요지표（배태식입솔、림상임신솔、유산솔）비교중，전새조、절제조우우조구조，이조구조우우우대조조；재수란관임신솔비교중，칙시전새조、절제조최저，조구조차지，대조조최고。결론이식전침대수란관적액적3충처리방법균대IVF-ET적결국유적겁영향，기중수란관개입전새술여기타2충방법상비유일정우세。
Objective To compare three different curative effects on hydrosalpinx before in vitro fertilization and embryo transfer (IVF-ET). Methods Patients receiving IVF-ET between January 2011 to December 2013 (n=731) due to tubal factor infertility (hydrosalpinx) were retrospectively analyzed. All patients were divided into four groups. Embolization group underwent fallopian tube embolization (n=257). Colostomy group underwent laparoscopic tubal umbrella end colosto?my (n=193). Excision group underwent laparoscopic tubal excision(n=198). Control group did not undergo any effusion be?fore transplantation (n=83). Results Comparing main indicators of ovarian hyperstimulation (the number of antral follicles, the dosage of gonadotropin (Gn), the number of retrieved oocytes), indicators were better in embolism group, colostomy group and control group than those in excision group. Comparing main indexes of IVF-ET (embryo implantation rate, clinical preg?nancy rate, abortion rate), indicators were better in embolism group, excision group than those in colostomy group while indi?cators in colostomy group were better than those in control group. The pregnancy rate in fallopian tube was the lowest in em?bolism group and excision group, and the highest in control group. Conclusion All three methods of processing hydrosal?pinx before transplantation ended with positive impact on IVF-ET, and fallopian tube embolization has certain advantages over the other two treatment measures.
