THE USE OF FIBRIN SEALANT FOR EMBRYO TRANSFER - DEVELOPMENT AND CLINICAL-STUDIES

被引：27

作者：

FEICHTINGER, W

STROHMER, H

RADNER, KM

GOLDIN, M

机构：

[1] Institute for Sterility Treatment, A-1130 Vienna

来源：

HUMAN REPRODUCTION | 1992年 / 7卷 / 06期

关键词：

ECTOPIC PREGNANCY; EMBRYO TRANSFER; FIBRIN SEALANT; IVF;

D O I：

10.1093/oxfordjournals.humrep.a137756

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Many embyro transfers after in-vitro fertilization may fail because of expulsion of the embryos from the uterus. Approximately 5 - 8% of pregnancies resulting from embryo transfer are ectopic. The aim of our study was to rind a technique to avoid ectopic pregnancies and to improve the pregnancy rate. We used a two-component fibrin sealant which also contains a fibrinolysis inhibitor (aprotinin) at various concentrations. After gaining experience with mouse embryos, the sealant was used in human embryo transfer with great success. The results of a pilot study encouraged us to perform a prospective randomized study on 546 patients (270 with fibrin sealant, 276 conventional embryo transfers). There were 47 (17.0%) orthotopic pregnancies and 6 (2.2%) ectopic pregnancies in the control group, whereas there were 51 (18.9%) intrauterine and no ectopic pregnancies in the treatment group. The difference in ectopic pregnancies was statistically significant (P < 0.05). With regard to the aprotinin concentration, there was a trend towards better results with 100- 150 kIU (28.5% clinical pregnancies) in comparison to 250 - 300 kIU (19.2%) or no aprotinin (20.4%) (not significant). Further improvements of the technique may raise the pregnancy rate when fibrin sealant is used. As shown in our prospective randomized study, ectopic pregnancies may be completely avoided.

引用

页码：890 / 893

页数：4

共 11 条

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