Fateh M, Ben-Rafael Z, Blasco L, Tureck R W, Meloni F, Mastroianni L
Fertil Steril. 1986 Oct;46(4):653-6. doi: 10.1016/s0015-0282(16)49643-3.
Fifty-eight patients who underwent in vitro fertilization (IVF) treatment were divided into two groups. In 28 patients, ultrasonically guided transurethral follicular aspiration was performed under light general anesthesia. In 30 patients, laparoscopic follicular aspiration was performed under general anesthesia. The mean age for both groups was similar. Follicular recruitment was achieved with human menopausal gonadotropin (hMG) or a combination of clomiphene citrate and hMG. In the ultrasonically guided aspiration group, 128 follicles were aspirated, with a 64% recovery rate (83 oocytes) and an 88.1% embryo transfer (ET) rate (67 embryos). Three (10.7%) intrauterine pregnancies were established in this group. In the laparoscopic group, 153 follicles were aspirated, with a 68.6% recovery rate (105 oocytes) and an 86.3% ET rate (82 embryos), with 4 (13.3%) intrauterine pregnancies established. Three patients had both procedures done; however, none conceived. There were no statistically significant differences between the two groups. Ultrasonically guided transurethral follicular aspiration should be considered as an alternative route for oocyte retrieval, especially when laparoscopy is contraindicated or when the ovaries are not accessible.
58例接受体外受精（IVF）治疗的患者被分为两组。28例患者在浅全身麻醉下进行超声引导经尿道卵泡抽吸术。30例患者在全身麻醉下进行腹腔镜卵泡抽吸术。两组的平均年龄相似。通过人绝经期促性腺激素（hMG）或枸橼酸氯米芬与hMG联合使用来促进卵泡募集。在超声引导抽吸组中，共抽吸128个卵泡，回收率为64%（83个卵母细胞），胚胎移植（ET）率为88.1%（67个胚胎）。该组中有3例（10.7%）成功建立宫内妊娠。在腹腔镜组中，共抽吸153个卵泡，回收率为68.6%（105个卵母细胞），ET率为86.3%（82个胚胎），有4例（13.3%）成功建立宫内妊娠。3例患者两种手术都做了，但均未受孕。两组之间无统计学显著差异。超声引导经尿道卵泡抽吸术应被视为获取卵母细胞的一种替代途径，尤其是在腹腔镜检查禁忌或无法触及卵巢时。
