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[子宫内膜异位囊肿与体外受精结局]

[Endometriomas and in vitro fertilization outcomes].

作者信息

Pouly J-L

机构信息

Service de Gynécologie-Obstétrique, Clermont-Ferrand, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2003 Dec;32(8 Pt 2):S37-41.

Abstract

This paper reports the effects of endometrioma and their treatments on infertility out-come mainly in cases of in vitro fertilisation. This paper summarise a literature review and the experience of the Clermont-Ferrand infertility centre experience. The main conclusions are: the absence of any deleterious effects on IVF results in cases of endometriomas, the conservation of the oocytes stock in the ovary after any type of ovarian surgery for endometrioma (cystectomy or drainage plus laser vaporisation), the poor out-come of iterative surgical approach of endometrioma, the risk of ovarian abscess after puncture during an IVF procedure. From all these data the authors provides answers to the most frequent questions that arise in the cases of the presence of endometrioma in an infertile patient.

摘要

本文主要报道了子宫内膜异位囊肿及其治疗对体外受精情况下不孕症结局的影响。本文总结了一项文献综述以及克莱蒙费朗不孕症中心的经验。主要结论如下:子宫内膜异位囊肿病例对体外受精结果无任何有害影响;任何类型的子宫内膜异位囊肿卵巢手术后(囊肿切除术或穿刺引流加激光汽化)卵巢中卵母细胞储备得以保留;子宫内膜异位囊肿反复手术治疗效果不佳;体外受精过程中穿刺后有发生卵巢脓肿的风险。基于所有这些数据,作者对不孕患者存在子宫内膜异位囊肿时最常见的问题给出了答案。

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