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时间:2017-12-07
《输卵管积水及其处理方法对冻融胚胎移植妊娠结局的影响》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国计划生育学杂志2010年第8期总第179期输卵管积水及其处理方法对冻融胚胎移植妊娠结局的影响谭舒尹张波周红冯贵雪周莉刘茵摘要目的:讨论输卵管积水及其处理方法对冻融胚胎移植(FET)周期妊娠结局的影响。方法:对FET304个周期进行回顾性分析,观察组43周期,为FET周期中阴道B超检查提示输卵管积水者;对照组261周期,为B超检查无输卵管积水者。同时按积水的处理方式将观察组分为3组:A组29例,FET前行积水抽吸术;B组3例,FET前行双侧输卵管近端结扎术;C组11例,采用药物理疗。结果:观察组种植率、妊娠率(8.43%,23.79%)低于对照组(16.28
2、%,39.85%),差异有统计学意义(P<0.05);而流产率、异位妊娠率(2.33%,8.81%)与对照组(1.91%,2.32%)比较,差异无统计学意义(P>0.05);A、B组与C组进行种植率、妊娠率、流产率、异位妊娠率的比较(6.67%,16.67%,13.04%;13.7%,33.33%,18.18%;3.45%,O%,0%;3.45%,O%,O%),差异均无统计学意义(P>0.05)。结论:输卵管积水可明显降低FET种植率及妊娠率,而进行输卵管积水抽吸术未能明显改善FET的妊娠结局,行输卵管近端结扎术处理积水因例数较少,有待进一步探讨。关键词输卵管
3、积水冷冻胚胎移植妊娠结局doi:10.3969/j.issn.1004—8189.2010.08Influenceofhydrosalpinxandthetreatmentstrategyonpregnancyoutcomeinthefrozen—-thawedembryotransfercyclesTanShuyin,ZhangBo,ZhouHong,eta1.MaternalandchildHealthHospitalofGuangxiProvince,Nanning530021AbstractObjective:Todeterminetheinfluen
4、ceofhydrosalpinxandthetreatmentstrategyonpregnancyoutcomeinthefro-zen—thawedembryotransfer(FET)cycles.Methods:Atotalof304FETcycleswereretrospectivelyanalyzed.Thepatientsweredividedintotwogroups.Thestudygroup(hydrosalpinxgroup)suferingfromhydrosalpinxdiagnosedbytransvaginalsonography
5、underwent43FETcycles;thecontrolgrouphavingnosignofhydrosalpinxbyvaginalultrasoundunderwent261cycles.Andthecontrolgroupwasfurtherdividedintothreegroupsaccordingtothetreatmentstrategyofhydrosalpinx:groupA(29women)weretreatedtIlhydrosalpinxaspirationbeforeFET;groupB(3women)weretreatedm
6、bilateraltuballigationbeforeFET;groupC(11women)weretreatedwithmedicineandphysiotherapy.Results:Theimplantationandpreg—nancyrateinthestudygroupweresignificantlylowerthanthoseofthecontrolgroup(8.43%vs.16.28%,23.79%vs.39.85%,P<0.05).However,therewerenosignificantdiferencesinthemiscarri
7、agerateandtherateofectopicpregnancy(2.33%vs.1.91%,18.8%vs.2.32%,P>0.05).Therewerenosignificantdiferencesintheimplantationrate,preg—nancyrate,miscarriagerateandectopicpregnancyrateamonggroupA,BandC(P>0.05).Conclusion:Hydrosalpinxcallsignificantlyreducetheimplantationrateoffrozenembry
8、oandthepregnancyrat
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