手术清除卵巢子宫内膜异位囊肿对患者IVF-ET疗效的影响

被引：3

作者：

杨琨 ^{[1
]}

罗海宁 ^{[2
]}

张云山 ^{[2
]}

机构：

[1] 天津医科大学

[2] 天津市中心妇产科医院

来源：

山东医药 | 2014年 / 54卷 / 08期

关键词：

卵巢子宫内膜异位囊肿; 手术清除; 体外受精—胚胎移植;

D O I：

暂无

中图分类号：

R711.71 [子宫内膜异位症];

学科分类号：

摘要：

目的评估手术清除卵巢子宫内膜异位囊肿(巧克力囊肿)对患者体外受精—胚胎移植(IVF-ET)疗效的影响。方法选择因巧克力囊肿行IVF-ET治疗的不孕患者296例。其中囊肿直径<4 cm、IVF-ET前未经手术清除者65例(A组),囊肿直径<4 cm、IVF-ET前行手术清除者70例(B组),囊肿直径>4 cm、IVF-ET前未经手术清除者77例(C组),囊肿直径>4 cm、IVF-ET前行手术清除者84例(D组)。回顾性分析各组Gn总量、Gn天数、内膜厚度、内膜形态、获卵数、受精率、卵裂率、优胚率、临床妊娠率、流产率。结果 A组Gn总量(48.05±21.23)支、Gn天数(8.77±2.01)d、A型内膜42.92%,B组分别为(59.86±5.18)支、(13.29±4.35)d、76.91%;两组比较,P均<0.05;两组间获卵数无明显差异。C组Gn总量(37.17±10.40)支、Gn天数(8.27±1.39)d、A型内膜54.88%、获卵数(7.53±3.36)个、临床妊娠率61.91%,D组分别为(51.16±19.46)支、(10.19±3.12)d、83.33%、(8.43±6.62)个、88.28%;两组比较,P均<0.05。结论手术清除囊肿后卵巢对Gn的反应性下降、内膜形态改善;对直径<4 cm的巧克力囊肿手术清除后临床妊娠率未提高,而直径>4 cm的囊肿手术清除可提高获卵数和临床妊娠率。

引用

页码：51 / 53

页数：3

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