Aboulghar M A, Mansour R T, Serour G I
Department of Obstetrics and Gynecology, Cairo University, Egypt.
Fertil Steril. 1989 May;51(5):834-7. doi: 10.1016/s0015-0282(16)60675-1.
Forty-two women with peritubal and periovarian adhesions as the only cause of infertility were superstimulated with clomiphene citrate and human menopausal gonadotropin in 103 cycles. Superstimulation resulted in considerable increase in ovarian size, and change in the tubo-ovarian relationship. Twenty-two patients became pregnant, achieving a pregnancy rate of 21% per cycle and an overall rate of 52%. Hyperstimulation syndrome occurred in 85 cycles (82.5%). Four cases of tubal pregnancy were reported (3.8%). This line of treatment could be tried before resorting to microsurgery or in vitro fertilization and embryo transfer in patients with peritubal and periovarian adhesions with at least one patent tube.
42名仅因输卵管周围和卵巢周围粘连导致不孕的女性在103个周期中接受了枸橼酸氯米芬和人绝经期促性腺激素的超促排卵治疗。超促排卵导致卵巢大小显著增加，以及输卵管-卵巢关系改变。22名患者怀孕，每个周期的妊娠率为21%，总体妊娠率为52%。85个周期（82.5%）发生了卵巢过度刺激综合征。报告了4例输卵管妊娠（3.8%）。对于输卵管周围和卵巢周围粘连且至少有一条输卵管通畅的患者，在采取显微手术或体外受精-胚胎移植之前，可以尝试这种治疗方法。
