诊断性腹腔镜检查与联合筛查性腹腔镜检查及定时卵泡抽吸术用于体外受精的比较

Diagnostic laparoscopy v. combined screening laparoscopy and timed follicle aspiration for in vitro fertilisation.

作者信息

Irsigler U M, van der Merwe J V

出版信息

S Afr Med J. 1987 Jan 10;71(1):20-2.

Abstract

Results from ovulation induction and laparoscopic oocyte retrieval for in vitro fertilisation and embryo transfer were compared in two groups of patients to determine whether oocyte retrieval subsequent to diagnostic laparoscopy had specific advantages over combined screening laparoscopy and timed follicle aspiration. There were no statistically significant differences in any of the factors investigated in the two groups. This study was useful in demonstrating firstly that there are no absolute criteria for selection of patients for either diagnostic or combination laparoscopy. Secondly, the procedure of choice is a combined screening laparoscopy and timed follicle aspiration if a patient is willing to accept a failure rate of 7.4% (2/27 in this study) due to ovarian inaccessibility.

摘要

为确定诊断性腹腔镜检查后取卵相对于联合筛查腹腔镜检查和定时卵泡抽吸是否具有特定优势，对两组患者进行了排卵诱导及体外受精和胚胎移植的腹腔镜取卵结果比较。两组所研究的任何因素均无统计学显著差异。该研究首先有助于证明，对于选择进行诊断性或联合腹腔镜检查的患者而言，不存在绝对标准。其次，如果患者愿意接受因卵巢难以触及导致的7.4%（本研究中为2/27）的失败率，那么首选的方法是联合筛查腹腔镜检查和定时卵泡抽吸。