Legendre Guillaume, Moulin Julie, Vialard Jean, Ziegler Dominique D E, Fanchin Renato, Pouly Jean Luc, Watrelot Antoine, Belaisch Allart Joëlle, Massin Nathalie, Fernandez Hervé
Service de Gynécologie-Obstétrique, Assistance publique des hôpitaux de Paris- Hôpital de Bicêtre, Le Kremlin-Bicêtre, France.
Service de Gynécologie-Obstétrique, Clinique mutualiste La Sagesse, Rennes, France.
Eur J Obstet Gynecol Reprod Biol. 2014 Oct;181:300-4. doi: 10.1016/j.ejogrb.2014.07.020. Epub 2014 Jul 30.
To study the feasibility and results (live-birth and complication rates) of placement of Essure(®) microinserts before assisted reproductive technology (ART) treatment of women with hydrosalpinx when laparoscopy should be avoided. Study design National survey of 45 French hospital centres providing ART reporting a retrospective analysis of 43 women with unilateral or bilateral hydrosalpinges and Essure(®) placement. The results of the following ART cycle were studied for 54 embryo transfers.
The placement success rate reached 92.8% (65/70 tubes), and the mean number of visible intrauterine coils was 1.61 (range: 0-6). Pyosalpinx occurred in one case, and expulsion of the device into the uterus in two others. Of 43 women, 29 (67.4%) had a total of 54 fresh or frozen embryos transferred. The clinical pregnancy rate was 40.7% (22/54) and the live-birth rate 25.9% (14/54). The implantation rate was 29.3% (27/92).
Essure(®) placement is an effective method for occlusion of hydrosalpinges before IVF. Monitoring the live-birth rate confirms that this option is the strongest in cases when laparoscopy is impossible or contraindicated.
研究在应避免腹腔镜检查的输卵管积水女性辅助生殖技术（ART）治疗前放置Essure（®）微插入物的可行性及结果（活产率和并发症发生率）。研究设计 对45家提供ART的法国医院中心进行全国性调查，报告对43例单侧或双侧输卵管积水并放置Essure（®）的女性进行回顾性分析。对54次胚胎移植的以下ART周期结果进行研究。
放置成功率达到92.8%（65/70条输卵管），子宫内可见线圈的平均数量为1.61（范围：0 - 6）。1例发生输卵管积脓，另2例装置排入子宫。43例女性中，29例（67.4%）共进行了54次新鲜或冷冻胚胎移植。临床妊娠率为40.7%（22/54），活产率为25.9%（14/54）。着床率为29.3%（27/92）。
放置Essure（®）是IVF前阻塞输卵管积水的有效方法。监测活产率证实，在不可能或禁忌进行腹腔镜检查的情况下，该选择是最佳的。
