Li Baijia, Lin Xiaona, Kuang Lin, Huang Dong, Jin Xiaoying, Zhang Songying
Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Department of Obstetrics & Gynecology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China. Email:
Zhonghua Yi Xue Za Zhi. 2014 Oct 14;94(37):2941-4.
To explore the effects of different laparoscopic procedures before embryo transfer (ET) for hydrosalpinx on pregnancy outcomes.
Group A (n = 269) underwent laparoscopic bilateral salpingectomy before ET while group B (n = 178) had laparoscopic bilateral tubal salpingostomy for hydrosalpinx. And the pregnancy outcomes of ET were evaluated.
The implantation, pregnancy, abortion, ectopic pregnancy and live birth rates were similar in 2 groups (P > 0.05). The interstitial pregnancy rate was 10.27% after bilateral salpingectomy. The clinical pregnancy rate increased while the interstitial pregnancy rate decreased when the intervals between salpingectomy and ET were prolonged. But there was no statistical significance (P > 0.05).
Laparoscopic tubal salpingostomy is as effective as salpingectomy for hydrosalpinx before ET. The interstitial pregnancy rate increases after laparoscopic salpingectomy. The interval between salpingectomy and ET should be appropriately scheduled.
探讨输卵管积水患者胚胎移植（ET）前不同腹腔镜手术对妊娠结局的影响。
A组（n = 269）在ET前行腹腔镜双侧输卵管切除术，B组（n = 178）行腹腔镜双侧输卵管积水造口术。评估ET的妊娠结局。
两组的着床率、妊娠率、流产率、异位妊娠率和活产率相似（P > 0.05）。双侧输卵管切除术后间质部妊娠率为10.27%。输卵管切除术后至ET的间隔时间延长时，临床妊娠率升高，间质部妊娠率降低。但差异无统计学意义（P > 0.05）。
ET前腹腔镜输卵管积水造口术与输卵管切除术效果相当。腹腔镜输卵管切除术后间质部妊娠率升高。应合理安排输卵管切除术后至ET的间隔时间。
