宫腔镜输卵管近端栓塞术在体外受精-胚胎移植前预处理输卵管积水中的应用  

Application of Hysteroscopic Fallopian Tube Proximal End Occlusion in Patients with Hydrosalpinx before in vitro Fertilization and Embryo Transfer

作　　者：朱蕾蕾[1] 冯淑英[1] 

机构地区：[1]中山大学孙逸仙纪念医院,广州510120

出　　处：《国际生殖健康／计划生育杂志》2015年第2期145-147,共3页Journal of International Reproductive Health/Family Planning

摘　　要：输卵管积水发病率高,其不仅对育龄期妇女的生育力造成损害,还严重影响体外受精-胚胎移植(IVF-ET)的结果。如何在IVF-ET前妥善处理输卵管积水一直是临床治疗的难题。目前国际上尚缺乏相关的治疗指南。经典输卵管积水预处理方法主要包括经阴道输卵管积水抽吸术、输卵管切除术、输卵管近端结扎术、输卵管远端造口术以及输卵管栓塞术等。通过检索近年有关IVF-ET前输卵管积水预处理的相关文献,探讨临床常用输卵管积水预处理方法各自优缺点的同时,着重介绍宫腔镜下输卵管近端栓塞术的具体内容及作用机制,并分析该方法的可行性及安全性。近年国外多篇文献报道证实该方法效果良好。现行几种输卵管积水预处理方法的优劣目前尚无定论,宫腔镜下输卵管栓塞术作为一种新的方法,具有适应证广、有效、微创、简单经济、无放射损伤等优点,值得临床推广。Hydrosalpinx with a high incidence in women of child-bearing age not only damages their fertility,but also has an obvious adverse effect on the outcomes of IVF-ET. It is always a problem how to handle properly hydrosalpinx before IVF-ET,even there is not a international guideline for standard treatment. There are several classical methods including transvaginal hydrosalpinx aspiration,salpingectomy,proximal tubal ligation,distal salpingostomy and fallopian tube proximal end occlusion. Based on recent publications on the pretreatment protocols of hydrosalpinx before IVF-ET,the advantages and disadvantages of those protocols were reviewed in this paper,while the hysteroscopic fallopian tube proximal end occlusion was especially evaluated,including its feasibility and safety. This therapy has recently been proved to be efficient. It is inconclusive which of the current pretreatment protocols for hydrosalpinx to be better. Hysteroscopic fallopian tube proximal end occlusion,as a new method with advantages of wider indications,effeciency,mild invasion,simple and economic method,is worthy of being recommended in clinical application.

关 键 词：输卵管疾病 输卵管阻塞 受精 体外 胚胎移植 宫腔镜 输卵管积水栓塞术 

分 类 号：R714.8[医药卫生—妇产科学]