输卵管积液对体外受精-胚胎移植结局的影响及处理策略  

Effect of hydrosalpinx on IVF-ET outcome and its management strategy

作　　者：李华[1] 杨一华 王丽燕 贲银 杭馥[1] LI Hua;YANG Yi-hua;WANG Li-yan;BI Yin;HANG Fu(The First Affiliated Hospital of Guangxi Medical University,Nanning 530000)

机构地区：[1]广西医科大学第一附属医院,南宁530000

出　　处：《生殖医学杂志》2021年第7期982-986,共5页Journal of Reproductive Medicine

基　　金：广西自然科学基金(2019JJG140006)。

摘　　要：随着辅助生殖技术的发展,如何提高妊娠成功率成为该技术面临的最大问题。体外受精-胚胎移植(IVF-ET)后的成功妊娠取决于两个因素:胚胎质量和子宫内膜容受性。输卵管积液可以通过改变子宫内膜容受性、毒胚作用、机械性冲刷等机制影响IVF-ET临床结局,是反复种植失败(RIF)的原因之一。输卵管积液有切除、结扎、造口、栓塞、穿刺抽液等多种治疗手段。本文就输卵管积液对IVF-ET结局的影响及临床如何选择治疗方案进行探讨,为RIF的治疗提供参考。With the extensive development of assisted reproductive technology,how to improve the success rate of pregnancy has become the biggest problem facing this technology.The pregnancy success of IVF-ET depends on two factors:embryo quality and endometrial receptivity.Hydrosalpinx can affect the clinical outcome of IVF-ET by changing endometrial receptivity,toxic embryo action,mechanical scouring and other mechanisms,which is one of the causes for repeated implantation failure(RIF).There are many kinds of treatment methods for hydrosalpinx,such as resection,ligation,stoma,embolization,puncture and so on.In this paper,the influence of hydrosalpinx on the outcome of IVF-ET and how to choose the treatment method were discussed in order to provide reference for the treatment of RIF.

关 键 词：输卵管积液 子宫内膜容受性 处理策略 体外受精-胚胎移植 

分 类 号：R711.6[医药卫生—妇产科学]