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局部麻醉下超声引导经阴道穿刺取卵

[Ultrasonically-guided transvaginal puncture under local anesthesia for oocyte recovery].

作者信息

de Candolle G, Born R, Rossier M

机构信息

Service de Gynécologie-Obstétrique, Hôpital de zone, Vaud, Suisse.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1989;18(5):669-72.

PMID:2681369
Abstract

We practised 17 cases of oocyte retrieval between January and June 1988 in our programme of IVF using a vaginal sound and local analgesia in order to retrieve oocytes using a transvaginal ultrasonic guide. The method is described. The recent literature has been reviewed and our results are given: 7.9 oocytes retrieved on an average from each patient, 4.4 oocytes fertilized per patient and 18% of clinical pregnancies. In view of the results that have been obtained and the lessening of risk by avoiding general anaesthesia and the lower cost for each case, as well as the fact that the patients tolerate the method very well, we are now recommending its application routinely and reserve laparoscopy for rare cases.

摘要

1988年1月至6月期间,我们在体外受精项目中对17例患者进行了卵母细胞采集,采用阴道探头和局部麻醉,通过经阴道超声引导采集卵母细胞。本文描述了该方法。回顾了近期文献并给出了我们的结果:每位患者平均采集到7.9个卵母细胞,每位患者有4.4个卵母细胞受精,临床妊娠率为18%。鉴于所取得的结果,以及避免全身麻醉降低了风险、每例成本较低,而且患者对该方法耐受性良好,我们现在建议常规应用该方法,仅在罕见情况下保留腹腔镜检查。

相似文献

1
[Ultrasonically-guided transvaginal puncture under local anesthesia for oocyte recovery].局部麻醉下超声引导经阴道穿刺取卵
J Gynecol Obstet Biol Reprod (Paris). 1989;18(5):669-72.
2
Transvaginal, ultrasound-guided oocyte retrieval for in vitro fertilization.经阴道超声引导下取卵用于体外受精。
J Reprod Med. 1989 Dec;34(12):937-42.
3
[The evaluation of ultrasonic oocyte collection techniques for IVF-ET--comparing the transabdominal and transvaginal methods].[体外受精-胚胎移植中超声引导取卵技术的评估——经腹与经阴道方法比较]
Nihon Sanka Fujinka Gakkai Zasshi. 1989 Feb;41(2):129-36.
4
Outpatient in vitro fertilization using transvaginal ultrasound-guided oocyte retrieval.
Obstet Gynecol. 1987 Apr;69(4):665-8.
5
[Comparison of vaginosonographic, transabdominal sonographic and laparoscopic follicle puncture for the retrieval of oocytes within the scope of an in vitro fertilization program].[在体外受精项目范围内,经阴道超声、经腹超声及腹腔镜卵泡穿刺取卵的比较]
Wien Med Wochenschr. 1987 Mar 31;137(5-6):108-12.
6
A comparison of the transabdominal and transvaginal methods of ultrasound-guided aspiration of pre-ovulatory oocytes for in vitro fertilisation.经腹与经阴道超声引导下抽吸排卵前卵母细胞用于体外受精的方法比较。
Clin Reprod Fertil. 1987 Dec;5(6):373-7.
7
Oocyte retrieval in an IVF program. A comparison of laparoscopic and transvaginal ultrasound-guided follicular puncture.体外受精程序中的取卵。腹腔镜与经阴道超声引导下卵泡穿刺的比较。
Acta Obstet Gynecol Scand. 1988;67(3):243-6. doi: 10.3109/00016348809004213.
8
Ultrasonically guided oocyte collection under local anesthesia: the first choice method for in vitro fertilization--a comparative study with laparoscopy.
Fertil Steril. 1986 Aug;46(2):257-61. doi: 10.1016/s0015-0282(16)49522-1.
9
Transvaginal oocyte retrieval controlled by vaginal probe for in vitro fertilization: a comparative study.
J Ultrasound Med. 1988 Jun;7(6):339-43. doi: 10.7863/jum.1988.7.6.339.
10
Transvaginal ultrasound or laparoscopy for oocyte retrieval (experiences in the Ljubljana IVF program).经阴道超声或腹腔镜取卵(卢布尔雅那体外受精项目的经验)
Acta Eur Fertil. 1988 Jul-Aug;19(4):209-11.