输卵管绝育术后育龄女性再生育的医疗决策:复通术或辅助生殖技术  

The decision on reversal of tubal sterilization:tubal reanastomosis or assisted reproductive technology?

作　　者：马瑞玉 顾向应[1] Ma Ruiyu;Gu Xiangying(Department o f Gynecology and Obstetrics,Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院妇产科,300052

出　　处：《中华生殖与避孕杂志》2019年第11期869-873,共5页Chinese Journal of Reproduction and Contraception

摘　　要：输卵管绝育术是目前全球应用最为广泛的避孕方法之一。然而,对于输卵管绝育术后因种种原因要求恢复生育能力的妇女,则面临2种不同的医疗选择:输卵管复通手术或体外受精-胚胎移植(in vitor fertilization and embryo transfer,IVF-ET)。在临床实践中,目前亟待解决的难题之一就是如何进行合理正确的选择。这需要我们从妊娠结局、预后影响因素等多方面进行综合评估比较,从而帮助临床医生及广大患者做出最优的选择,对临床实践中个体化咨询提供参考意见。As one of the most effective contraceptive methods,tubal sterilization is widely used in the world at present.However,for women who are interested in future childbearing after tubal sterilization,they faced with two different treatment options:tubal reanastomosis or in vitro fertilization and embryo transfer(IVF-ET)technique.In clinical practice,one of the problems to be solved urgently is how to make a reasonable and correct choice,which requires us to make a comprehensive evaluation and comparison on the aspects of pregnancy outcome,prognostic factors and so on.So,we will help clinicians and patients to make the best choice and provide reference for individualized consultation in clinical practice.

关 键 词：输卵管绝育术 输卵管吻合术 受精 体外 

分 类 号：R71[医药卫生—妇产科学]