腹腔镜治疗子宫内膜异位症在体外受精周期失败患者中的作用。
Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles.
作者信息
Littman Eva, Giudice Linda, Lathi Ruth, Berker Bulent, Milki Amin, Nezhat Camran
机构信息
Department of Gynecology and Obstetrics, Stanford University Medical Center, Stanford, California, USA.
出版信息
Fertil Steril. 2005 Dec;84(6):1574-8. doi: 10.1016/j.fertnstert.2005.02.059.
OBJECTIVE
To report our experience in patients with previous IVF failures who conceived after laparoscopic treatment of endometriosis.
DESIGN
Retrospective case series.
SETTING
Tertiary center IVF and endoscopy programs.
PATIENT(S): Infertility patients with history of prior IVF failures.
INTERVENTION(S): Laparoscopic evaluation and treatment of endometriosis by the same surgeon.
MAIN OUTCOME MEASURE(S): Occurrence of conception after laparoscopic treatment of endometriosis.
RESULT(S): Of 29 patients with prior IVF failures, 22 conceived after laparoscopic treatment of endometriosis, including 15 non-IVF pregnancies and 7 IVF pregnancies.
CONCLUSION(S): In the absence of tubal occlusion or severe male factor infertility, laparoscopy may still be considered for the treatment of endometriosis even after multiple IVF failures.
目的
报告我们对既往体外受精（IVF）失败后经腹腔镜治疗子宫内膜异位症而受孕患者的经验。
设计
回顾性病例系列。
地点
三级中心的IVF和内镜诊疗项目。
患者
有既往IVF失败病史的不孕患者。
干预措施
由同一位外科医生进行腹腔镜评估和子宫内膜异位症治疗。
主要观察指标
子宫内膜异位症经腹腔镜治疗后的受孕情况。
结果
29例既往IVF失败的患者中，22例在腹腔镜治疗子宫内膜异位症后受孕，其中包括15例非IVF妊娠和7例IVF妊娠。
结论
在不存在输卵管阻塞或严重男性因素不育的情况下，即使经历多次IVF失败，对于子宫内膜异位症的治疗仍可考虑腹腔镜检查。
Zotero 插件