Katayama K P, Roesler M, Gunnarson C, Stehlik E, Jagusch S, Meyer M A
Advanced Institute of Fertility, Sinai Samaritan Medical Center, Milwaukee, Wisconsin.
Obstet Gynecol. 1988 Aug;72(2):271-4.
In search of a simpler and less traumatic method of oocyte retrieval for in vitro fertilization (IVF), 37 infertile patients underwent ultrasound-guided transvaginal needle aspiration of the follicles instead of the conventional laparoscopic aspiration. Although only intravenous analgesics and sedatives were used, patients experienced little discomfort. There were no infections or bleeding complications after the procedure. Eleven patients (30%) achieved ongoing pregnancies; this rate of success is comparable to that with our laparoscopic method. Considering this reasonable pregnancy rate, lack of substantial morbidity, and good patient acceptance, laparoscopic oocyte retrieval for IVF can be largely replaced by the ultrasound-guided transvaginal needle aspiration technique.
为寻找一种更简单且创伤性更小的体外受精（IVF）取卵方法，37例不孕患者接受了超声引导下经阴道卵泡穿刺，而非传统的腹腔镜穿刺。尽管仅使用了静脉镇痛药和镇静剂，但患者几乎没有不适感。术后未出现感染或出血并发症。11例患者（30%）成功妊娠；这一成功率与我们采用腹腔镜方法的成功率相当。鉴于这一合理的妊娠率、较低的发病率以及患者良好的接受度，IVF的腹腔镜取卵术在很大程度上可被超声引导下经阴道穿刺技术所取代。
