摘要
目的:探讨输卵管栓塞术治疗输卵管积水的治疗效果及对体外受精-胚胎移植(IVF-ET)结局的影响。方法:选择25例输卵管阻塞但无积水(A组)和22例输卵管积水(B组),其中B组先行输卵管栓塞术,再行IVF-ET,A组直接行IVF-ET,同时选择同期输卵管积水未处理直接行IVF-ET对照组。比较三组患者IVF-ET情况。结果:B组行输卵管栓塞术总成功率为100%。对照组临床妊娠率低于A组和B组,异位妊娠率和流产率高于A组和B组,差异均具有统计学意义(P<0.05),而A组和B组之间临床妊娠率、异位妊娠率和流产率无明显差别(P>0.05)。结论:输卵管栓塞术治疗输卵管积水有效,IVF-ET前行介入栓塞术可提高临床妊娠率,降低异位妊娠率和流产率,值得在IVF-ET前输卵管积水的治疗中推广。
Objectives： To investigate the therapeutic effect of fallopian tube embolization in the treatment of hydrosalpinx and its effect on the outcome of in vitro fertilization and embryo transfer（ IVF-ET）. Methods： 25 cases of fallopian tube obstruction without hydrosalpinx（ group A） and 22 patients with hydrosalpinx（ group B） were selected. The patients in group B received fallopian tube embolization before IVF-ET and the patients in group A received IVF-ET. At the same time,the patients with hydrosalpinx which was not treated directly before IVF-ET were as control group. The IVF-ET outcome of three groups were compared. Results： The total success rate of fallopian tube embolization in group B was 100%. The clinical pregnancy rate in control group was lower than these in group A and group B,and the ectopic pregnancy rate and abortion rate in control group were higher than those of group A and group B,with statistically significant differences（ P〈0. 05）. No significant difference was found between group A and group B in the aspects of clinical pregnancy rate,ectopic pregnancy rate and abortion rate（ P〈0. 05）.Conclusion： The fallopian tube embolization is effective in the treatment of hydrosalpinx. Performing fallopian tube embolization before IVF-ET intervention can improve the clinical pregnancy rate and reduce the rate of ectopic pregnancy and abortion,which is worth promoting in the treatment of hydrosalpinx before IVF-ET.
出处
《中国性科学》
2018年第1期76-78,共3页
Chinese Journal of Human Sexuality
基金
浙江省金华市科学技术研究计划项目(2014-3-070)
关键词
输卵管栓塞术
体外受精-胚胎移植
妊娠结局
Fallopian tube embolization
In vitro fertilization embryo transfer （IVF -ET）
Pregnancy outcome
