输卵管镜检查可改善反复种植失败女性的体外受精情况。
Fertiloscopy improves in vitro fertilization for women with repeated implantation failure.
作者信息
Zhang R, Xu A, Wang Q, Zhang L, Zhu L, Zhao S, Xiong W
机构信息
Department of Reproductive Medicine, the First Affiliated Hospital of Dali University, 671000 Dali, The People's Republic of China.
Center for Computational and Integrative Biology, Massachusetts General Hospital, Harvard Medical School, 02114 Boston, MA, USA.
出版信息
J Gynecol Obstet Hum Reprod. 2017 Dec;46(10):743-746. doi: 10.1016/j.jogoh.2017.07.001. Epub 2017 Jul 8.
OBJECTIVE
To assess the effects of fertiloscopy procedure on the outcomes of subsequent in vitro fertilization cycles in patients with repeated implantation failure (RIF).
METHODS
A retrospective study was performed on 50 patients underwent fertiloscopy and 41 controls with RIF. Pelvic and intrauterine pathologies related to infertility, clinical pregnancy rate (CPR) and ongoing pregnancy rate (OPR) of subsequent IVF cycles were assessed.
RESULTS
Twenty-six out of 50 patients (52%) had abnormal fertiloscopic findings. The women who underwent fertiloscopy exhibited significantly increased CPRs (46.8% vs. 24.4%) and OPRs (36.2% vs. 12.2%) compared with the control subjects who did not undergo fertiloscopy.
CONCLUSION
The incidence of pathologic findings on fertiloscopy is high among patients with RIF. Fertiloscopy is valuable in subsequent cycles among patients with RIF.
目的
评估输卵管镜检查对反复种植失败（RIF）患者后续体外受精周期结局的影响。
方法
对50例行输卵管镜检查的患者和41例RIF对照患者进行回顾性研究。评估与不孕相关的盆腔和子宫内病变、后续体外受精周期的临床妊娠率（CPR）和持续妊娠率（OPR）。
结果
50例患者中有26例（52%）输卵管镜检查结果异常。与未行输卵管镜检查的对照受试者相比，接受输卵管镜检查的女性CPR（46.8%对24.4%）和OPR（36.2%对12.2%）显著提高。
结论
RIF患者输卵管镜检查病理结果的发生率较高。输卵管镜检查对RIF患者的后续周期有价值。
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