输卵管积水抽吸术配合耳穴贴疗对体外受精-胚胎移植结局的影响
发布时间：2019-08-03 19:18
【摘要】：目的探讨冷冻胚胎移植前输卵管积水处理的有效方法。方法将229例冷冻胚胎移植并伴有输卵管积水的患者,采用随机数字表进行分组。研究组为输卵管积水抽吸术配合耳穴贴疗组(A组)94例,输卵管积水抽吸组(B组)89例,输卵管积水未处理组(C组)46例作为对照组。比较3组患者冻融胚胎移植周期结局及移植日子宫内膜和内膜下血流分布。结果 3组患者的冻胚移植日子宫内膜厚度、移植胚胎数和移植的优质胚胎数比较,差异均无统计学意义(P0.05);A组的临床妊娠率及胚胎种植率均明显高于C组,且临床妊娠率亦高于B组,差异均有统计学意义(P0.05)。早期流产率与移植取消率A组明显低于C组,差异亦有统计学意义(P0.05)。A组的子宫内膜和内膜下血流分布以A型分布为主,A型分布率均明显高于B组和C组;B组的A型分布率也高于C组,差异均有统计学意义(P0.05)。结论输卵管积水抽吸配合耳穴贴疗方案处理输卵管积水能提高子宫内膜容受性,改善体外受精-胚胎移植的结局。
[Abstract]:Objective to explore an effective method for the treatment of hydrosalpinx before frozen embryo transfer. Methods 229 patients with frozen embryo transfer with hydrosalpinx were randomly divided into two groups. There were 94 cases in group A, 89 cases in group B and 46 cases in group C as control group. The outcome of freeze-thaw embryo transfer cycle and the distribution of intimal and subintimal blood flow on the day of transplantation were compared among the three groups. Results there was no significant difference in the intimal thickness, the number of transferred embryos and the number of high quality embryos in the three groups (P 0.05). The clinical pregnancy rate and embryo implantation rate in); A group were significantly higher than those in group C, and the clinical pregnancy rate was also higher than that in group B (P 0.05). The early abortion rate and transplantation elimination rate in group A were significantly lower than those in group C, and the difference was statistically significant (P 0.05). The distribution rate of intimal and subintimal blood flow in group). A was mainly type A, which was significantly higher than that in group B and group C, and the distribution rate of type A in group B was also higher than that in group C (P 0.05). Conclusion the treatment of hydrosalpinx with tubal hydrosalpinx combined with auricle acupoint patch can improve the receptivity of uterus and the outcome of in vitro fertilization and embryo transfer.
【作者单位】： 甘肃省妇幼保健院生殖医学中心;
【基金】：甘肃省卫生厅中医药科研课题(No.GZK-2012-20)
【分类号】：R714.8
本文编号：2522745
[Abstract]:Objective to explore an effective method for the treatment of hydrosalpinx before frozen embryo transfer. Methods 229 patients with frozen embryo transfer with hydrosalpinx were randomly divided into two groups. There were 94 cases in group A, 89 cases in group B and 46 cases in group C as control group. The outcome of freeze-thaw embryo transfer cycle and the distribution of intimal and subintimal blood flow on the day of transplantation were compared among the three groups. Results there was no significant difference in the intimal thickness, the number of transferred embryos and the number of high quality embryos in the three groups (P 0.05). The clinical pregnancy rate and embryo implantation rate in); A group were significantly higher than those in group C, and the clinical pregnancy rate was also higher than that in group B (P 0.05). The early abortion rate and transplantation elimination rate in group A were significantly lower than those in group C, and the difference was statistically significant (P 0.05). The distribution rate of intimal and subintimal blood flow in group). A was mainly type A, which was significantly higher than that in group B and group C, and the distribution rate of type A in group B was also higher than that in group C (P 0.05). Conclusion the treatment of hydrosalpinx with tubal hydrosalpinx combined with auricle acupoint patch can improve the receptivity of uterus and the outcome of in vitro fertilization and embryo transfer.
【作者单位】： 甘肃省妇幼保健院生殖医学中心;
【基金】：甘肃省卫生厅中医药科研课题(No.GZK-2012-20)
【分类号】：R714.8
【共引文献】
相关会议论文 前1条
1 肖彭莹;尤昭玲;刘丹卓;;尤昭玲教授临床诊疗排卵障碍性不孕的经验总结[A];第十一次全国中医妇科学术大会论文集[C];2011年
相关硕士学位论文 前10条
1 李长艳;护卵汤对GnRHa超排卵大鼠围着床期子宫内膜形态学的影响[D];湖南中医药大学;2012年
2 李娜;护卵汤对GnRHa超促排卵大鼠子宫内膜胞饮突、P及妊娠率的影响[D];湖南中医药大学;2012年
3 李楠楠;化瘀散对因输卵管积水性不孕行IVF-ET的患者妊娠结局的影响[D];山东中医药大学;2012年
4 邱冉冉;护卵汤对GnRHa超排卵大鼠卵巢超微结构及体细胞凋亡的影响[D];湖南中医药大学;2013年
5 陈秋霞;中医药治疗排卵障碍性不孕的系统评价及ART中医药研究[D];广州中医药大学;2013年
6 常小星;输卵管切除术对超促排卵卵巢反应性的影响[D];大连医科大学;2012年
7 陈思;双山安胎饮防治IVF-ET生化妊娠流产（脾肾两虚型）临床观察[D];湖南中医药大学;2013年
8 黄新林;腹腔镜下输卵管不同分级的妊娠结局及相关影响因素分析[D];新疆医科大学;2013年
9 姚雪;宫腹腔镜联合热敏灸在输卵管积水性不孕中的应用研究[D];福建中医药大学;2014年
10 郑真真;宫腔镜和腹腔镜联合诊治457例女性不孕症的临床分析[D];苏州大学;2014年
，本文编号：2522745
本文链接：https://www.wllwen.com/yixuelunwen/fuchankeerkelunwen/2522745.html
最近更新
教材专著
