中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
12期
69-71
,共3页
输卵管积水%积水抽吸术%冻融胚胎移植%临床妊娠
輸卵管積水%積水抽吸術%凍融胚胎移植%臨床妊娠
수란관적수%적수추흡술%동융배태이식%림상임신
Hydrosalpinx%A spiration%Frozen embryo transfer (FET)%Clinical preganancy rate
目的：探讨输卵管积水抽吸术在冻融胚胎移植（FET）中的临床应用。方法：对2011年9月至2013年6月我中心FET共742周期，其中积水抽吸组（A组）98周期，有积水但已在腹腔镜下行输卵管结扎或切除组（B组）114周期，有积水未抽吸组（C 组）95周期，B超显示无积水组（D组）435周期，对各组FET患者的临床结局进行分析。结果：A、B、C、D组患者平均年龄，平均移植胚胎数等组间比较，P＞0.05，无统计学差异。四组着床率分别为31.78％、30.34％、27.81％、33.03％；流产率分别为2.22％、13.36％、7.89％、5.21％；妊娠率分别为45.92％、51.75％、40.00％、48.51％，各组组间比较，P＞0.05，均无统计学差异。结论：腹腔镜组妊娠率最高，无积水组次之，输卵管积水抽吸组妊娠率高于未抽吸组，提示输卵管积水抽吸术在患有输卵管积水但拒绝手术治疗患者FET前一天行抽吸术可取得一定疗效。
目的：探討輸卵管積水抽吸術在凍融胚胎移植（FET）中的臨床應用。方法：對2011年9月至2013年6月我中心FET共742週期，其中積水抽吸組（A組）98週期，有積水但已在腹腔鏡下行輸卵管結扎或切除組（B組）114週期，有積水未抽吸組（C 組）95週期，B超顯示無積水組（D組）435週期，對各組FET患者的臨床結跼進行分析。結果：A、B、C、D組患者平均年齡，平均移植胚胎數等組間比較，P＞0.05，無統計學差異。四組著床率分彆為31.78％、30.34％、27.81％、33.03％；流產率分彆為2.22％、13.36％、7.89％、5.21％；妊娠率分彆為45.92％、51.75％、40.00％、48.51％，各組組間比較，P＞0.05，均無統計學差異。結論：腹腔鏡組妊娠率最高，無積水組次之，輸卵管積水抽吸組妊娠率高于未抽吸組，提示輸卵管積水抽吸術在患有輸卵管積水但拒絕手術治療患者FET前一天行抽吸術可取得一定療效。
목적：탐토수란관적수추흡술재동융배태이식（FET）중적림상응용。방법：대2011년9월지2013년6월아중심FET공742주기，기중적수추흡조（A조）98주기，유적수단이재복강경하행수란관결찰혹절제조（B조）114주기，유적수미추흡조（C 조）95주기，B초현시무적수조（D조）435주기，대각조FET환자적림상결국진행분석。결과：A、B、C、D조환자평균년령，평균이식배태수등조간비교，P＞0.05，무통계학차이。사조착상솔분별위31.78％、30.34％、27.81％、33.03％；유산솔분별위2.22％、13.36％、7.89％、5.21％；임신솔분별위45.92％、51.75％、40.00％、48.51％，각조조간비교，P＞0.05，균무통계학차이。결론：복강경조임신솔최고，무적수조차지，수란관적수추흡조임신솔고우미추흡조，제시수란관적수추흡술재환유수란관적수단거절수술치료환자FET전일천행추흡술가취득일정료효。
Objectives:To discuss the clinical application of hydrosalpinx aspiration in frozen embryo trans-fer (FET).Methods:A retrospective analysis was conducted in 742 cycles who undergoing FET with disease from Sep 2011 to Jun 2013.The patients were divided into four groups according to treatment for hydrosalpinx:taking out the tubal fluid (Group A,98 cycles),the tubal ligation or salpingectomy by laparoscope (Group B,1 14 cycles), without treatment of hydrosalpinx (Group C,95 cycles),the control group (Group D,435 cycles).The clinical outcome of each group of patients was analyzed.Result:The data revealed that there were no significant differences among four groups in the mean age of patients and the average number of transferred embryos.The FET implantation rates were 31.78%,30.34%,27.81% and 33.03%,respectively in these four groups.The abortion rates and pregnancy rates of group A,group B,group C and group D were 2.22% and 45.92%,13.36% and 51.75%, 7.89% and 40.00%,and 5.21% and 48.51%,respectively,which showed no significant difference.Conclu-sions:The pregnancy rate of the laparoscopic group is the highest,followed by the control group,the hydrosalpinx aspiration group and aspiration group in sequence.From what has been discussed above,it is revealed that hydrosal-pinx aspiration in the day before the FET on patients with hydrosalpinx but refused to surgery is helpful.
