Szamatowicz Marian
Klinika Ginekologii, Akademii Medycznej w Białymstoku.
Ginekol Pol. 2007 Mar;78(3):175-9.
The assisted reproductive technics (ART) compose the very valuable tool in the infertility treatment additionally to pharmacological and surgical methods. ART comparises the classical in vitro fertilization and embryotransfer (IVF/ET) intracytoplasmic sperm injection (ICSI) intrauterine insemination (IUI), microepididymal sperm spiration (MESA), and testicular sperm aspiration (TESA). Male infertility, tubal factor, ovarian factor, endometriosis or an unexplained infertility constitute pathologies where ART can be applied as the methods of choice or as the methods of the last chance. The efficacy of ART is closely related to the age of the female partner. Hence, taking a decision of the inappropriate treatment of the infertility and prolongation of such treatment for years is the "Theft" of the reproductive time of women and a diminution or even deprivation of the chance for pregnancy. The role and the appropriate time of the ART application in different infertility causes are described.
辅助生殖技术(ART)是不育症治疗中除药物和手术方法之外非常有价值的工具。ART包括经典的体外受精和胚胎移植(IVF/ET)、卵胞浆内单精子注射(ICSI)、宫内人工授精(IUI)、显微附睾精子抽吸术(MESA)以及睾丸精子抽吸术(TESA)。男性不育、输卵管因素、卵巢因素、子宫内膜异位症或不明原因的不育构成了可以将ART作为首选方法或最后机会方法应用的病理情况。ART的疗效与女性伴侣的年龄密切相关。因此,做出不适当的不育症治疗决定并将这种治疗延长数年,是对女性生育时间的“窃取”,会减少甚至剥夺怀孕的机会。本文描述了ART在不同不育原因中的作用和适用时机。