Role of laparoscopy in the treatment of endometriosis-associated infertility

被引：54

作者：

Osuga, Y ^{[1
]}

Koga, K ^{[1
]}

Tsutsumi, O ^{[1
]}

Yano, T ^{[1
]}

Maruyama, M ^{[1
]}

Kugu, K ^{[1
]}

Momoeda, M ^{[1
]}

Taketani, Y ^{[1
]}

机构：

[1] Univ Tokyo, Fac Med, Dept Obstet & Gynecol, Bunkyo Ku, Tokyo 1138655, Japan

来源：

GYNECOLOGIC AND OBSTETRIC INVESTIGATION | 2002年 / 53卷

关键词：

laparoscopy; endometriosis; tubal adhesions; infertility; peritoneal fluid; IVF-ET;

D O I：

10.1159/000049422

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Endometriosis is assumed to be one of the causative factors of infertility, although the mechanism remains to be elucidated. Mechanical factors distorting the pelvic anatomy and/or changes in the biochemical and cellular environment in the peritoneal cavity are possible contributing factors impairing fertility. Laparoscopy is a widely used diagnostic and therapeutic means of treating endometriosis-associated infertility. However, pregnancy outcome after laparoscopy varies depending on preexisting tubal adhesions and endometriosis. Without tubal adhesions, the pregnancy rate is essentially the same irrespective of the presence or stages of endoemetriosis. Minimal/mild endometriosis benefited the most from laparoscopic manipulation when tubal adhesions were present. On the other hand, IVF-ET outcome of patients who previously underwent laparoscopy was not influenced by preexisiting tubal adhesions and endometriosis. Copyright (C) 2002 S. Karger AG, Basel.

引用

页码：33 / 37

页数：5

共 29 条

[1] SURGICAL-TREATMENT OF ENDOMETRIOSIS-ASSOCIATED INFERTILITY - METAANALYSIS COMPARED WITH SURVIVAL ANALYSIS [J].

ADAMSON, GD ;

PASTA, DJ .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1994, 171 (06) :1488-1505

[2] The effect of endometriosis on implantation: Results from the Yale University in vitro fertilization and embryo transfer program [J].

Arici, A ;

Oral, E ;

Bukulmez, O ;

Duleba, A ;

Olive, DL ;

Jones, EE .

FERTILITY AND STERILITY, 1996, 65 (03) :603-607

[3] PITUITARY OVARIAN-FUNCTION IN WOMEN WITH MINIMAL OR MILD ENDOMETRIOSIS AND OTHERWISE UNEXPLAINED INFERTILITY [J].

BANCROFT, K ;

WILLIAMS, CAV ;

ELSTEIN, M .

CLINICAL ENDOCRINOLOGY, 1992, 36 (02) :177-181

[4]

CHEESMAN KL, 1983, FERTIL STERIL, V40, P590

[5]

CHEESMAN KL, 1982, FERTIL STERIL, V38, P542

[6]

CODDINGTON CC, 1992, FERTIL STERIL, V57, P783

[7]

DASTYCH J, 1994, J IMMUNOL, V152, P213

[8] The receptor encoded by the human C-MET oncogene is expressed in testicular tissue and on human spermatozoa [J].

Depuydt, Christophe E. ;

Zalata, Adel ;

de Potter, Christian R. ;

van Emmelo, John ;

Comhaire, Frank H. .

MOLECULAR HUMAN REPRODUCTION, 1996, 2 (01) :2-8

[9] THE EFFECT OF ENDOMETRIOSIS, ITS STAGE AND ACTIVITY, AND OF AUTOANTIBODIES ON IN-VITRO FERTILIZATION AND EMBRYO-TRANSFER SUCCESS RATES [J].

DMOWSKI, WP ;

FRIBERG, J ;

RANA, N ;

PAPIERNIAK, C ;

MICHALOWSKA, J ;

ELROEIY, A .

FERTILITY AND STERILITY, 1995, 63 (03) :555-562

[10]

DMOWSKI WP, 1997, ENDOMETRIUM ENDOMETR, P174

← 1 2 3 →