介入性输卵管栓塞术对体外受精-胚胎移植结局的影响  

Effect of interventional oviduct embolization in treatment for hydrosalpinx before in vitro fertilization-embryo transfer

作　　者：赵冬妮[1] 杨大磊[1] 李一宁[1] 王秀霞[1] 叶莹心[1] 何丽霞[1] 王毅堂[2] 关华[1] 谭继春[1] 

机构地区：[1]中国医科大学附属盛京医院辅助生殖中心,辽宁沈阳110004 [2]沈阳市242医院,辽宁沈阳110034

出　　处：《中国实用妇科与产科杂志》2011年第7期549-550,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的探讨介入性输卵管栓塞术对输卵管积水患者行体外受精-胚胎移植(IVF-ET)治疗结局的影响。方法对2009年5月至2010年5月因输卵管性不孕于盛京医院辅助生殖中心行IVF-ET200例临床资料进行回顾性分析。分为3组。A组:输卵管阻塞,无积水(92例);B组:有输卵管积水,经腹腔镜行输卵管切除术或造口术(31例);C组:有输卵管积水,行介入性输卵管栓塞术(77例)。结果各组间临床妊娠率差异无统计学意义(P>0.05)。介入治疗组获卵数略高于腹腔镜治疗组。结论介入性输卵管栓塞术是一种值得推荐的IVF-ET前输卵管积水的治疗方法。Objective To evaluate the effect of interventional oviduct embolization on in vitro fertilization-embryo transfer （IVF-ET） in the patients with hydrosalpinx. Methods 200 infertile women who suffered from infertility because of the tubal inflamation and received IVF-ET treatment were divided into three groups. A ： （ control group） 92 cycles with salpingemphraxis, not hydrosalpinx. B ：31 cycles with hydrosalpinx and received laparoscope salpingectomy or salpingostomy before IVF-ET. C ：77 cycles with hydrosalpinx and received interventional oviduct embolization before IVF-ET. Results There was no significant difference in clinical pregnancy rate among these groups （ P 〉 0.05 ）. But the number of the retrieving oocytes of interventional oviduct embolization group are higher than those of laparoscope group. Conclusion Interventional oviduct embolization is a kind of treatment worth to recommend on hydrosalpinx before IVF-ET.

关 键 词：输卵管积水 体外受精-胚胎移植 介入性输卵管栓塞术 

分 类 号：R711.76[医药卫生—妇产科学]