体外受精-胚胎移植前输卵管积水的治疗

发布时间：2018-05-22 11:55

本文选题：输卵管积水 + 输卵管介入栓塞术　；参考：《介入放射学杂志》2017年07期

【摘要】：目的比较输卵管介入栓塞术与腹腔镜下切除术两种方法在体外受精-胚胎移植(IVFET)术前治疗输卵管积水的效果与优缺点。方法选取因输卵管性不孕行IVF-ET患者170例,进行回顾性分析。分为3组:介入栓塞组65例,行积水输卵管介入栓塞术;腹腔镜下切除组55例,行腹腔镜下积水输卵管切除术;对照组50例,双侧输卵管近端阻塞,无积水的患者,直接行IVF-ET。结果 3组的促性腺激素(gonadotropin,Gn)的用量、HCG注射日E2值、HCG注射日卵泡数、获卵数、受精率、卵裂率、临床妊娠率、流产率、异位妊娠率比较差异均无统计学意义(P0.05),介入栓塞组和腹腔镜下切除组成功率均为100%,无严重并发症发生。介入栓塞组门诊即可完成,手术时间短,无需麻醉,费用低是其优点。结论输卵管介入栓塞术和腹腔镜下切除术在IVF-ET术前治疗输卵管积水同样有效,均可改善妊娠结局,两者相比较,介入栓塞术方法更简便、安全,经济,效果确切,值得作为治疗的首选方法。
[Abstract]:Objective to compare the efficacy, advantages and disadvantages of tubal interventional embolization and laparoscopic resection in the treatment of hydrosalpinx before IVFET. Methods 170 cases of IVF-ET due to tubal infertility were retrospectively analyzed. The patients were divided into three groups: interventional embolization group (n = 65), laparoscopic salpingotomy group (n = 55), and control group (n = 50) with bilateral proximal tubal obstruction without hydrosalpinx. Results the dosage of gonadotropin Gnn in the three groups was estimated to be E 2 on the day of HCG injection. The number of follicles, the number of eggs, fertilization rate, cleavage rate, clinical pregnancy rate, abortion rate, the number of eggs, the rate of fertilization, the rate of cleavage, the rate of abortion, and the number of follicles on the day of HCG injection. There was no significant difference in ectopic pregnancy rate (P 0.05). The success rate of interventional embolization group and laparoscopic resection group were 100 and no serious complications occurred. The interventional embolism group can be completed in outpatient department, the operation time is short, the anaesthesia is not needed, and the cost is low. Conclusion tubal interventional embolization and laparoscopic resection are equally effective in the treatment of hydrosalpinx before IVF-ET, and can improve pregnancy outcome. Compared with the two methods, interventional embolization is more simple, safe, economical and effective. It is worthy to be the first choice of treatment.
【作者单位】：南通大学第二附属医院介入科;南通大学附属医院介入科;南通市妇幼保健院影像科;南通市妇幼保健院生殖中心;
【分类号】：R714.8

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