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经阴道超声引导精准转移方法的建立。

Establishment of a trans-vaginal ultrasound-guided pinpoint transfer method.

作者信息

Okamoto Sumihide

机构信息

ART Okamoto Women's Clinic Nagasaki City Japan.

出版信息

Reprod Med Biol. 2018 Mar 8;17(2):182-187. doi: 10.1002/rmb2.12091. eCollection 2018 Apr.

Abstract

PURPOSE

Through the use of the trans-vaginal ultrasound-guided pinpoint transfer method, the aim was to ensure the safety of the embryo being transferred in cases of difficult cervixes. It also was aimed to be able to stop embryo transfers in difficult cases and to be able to restart the process under anesthesia or cryopreservation.

METHODS

A new type of transfer catheter was developed. With this method, after reaching the internal os, the embryologist begins the loading of the embryo into the inner catheter. Then, the embryo transfer begins. Under the guidance of the trans-vaginal ultrasonography, the optimal position for implantation is selected.

RESULTS

Out of 666 cases, 14 were difficult cervixes. This transfer method enabled 221 of the 666 patients to become pregnant successfully, which was a success rate of 33.2%.

CONCLUSION

From start to finish, this method takes only 2 min. It is simple, fast, and reliable, with a high satisfaction rate amongst patients.

摘要

目的

通过经阴道超声引导下的精准移植方法,旨在确保在宫颈情况复杂的病例中胚胎移植的安全性。同时,目标是能够在困难病例中停止胚胎移植,并能够在麻醉或冷冻保存的情况下重新开始该过程。

方法

研发了一种新型移植导管。采用这种方法,到达宫颈内口后,胚胎学家开始将胚胎装入内导管。然后开始胚胎移植。在经阴道超声检查的引导下,选择最佳着床位置。

结果

在666例病例中,有14例宫颈情况复杂。这种移植方法使666例患者中的221例成功怀孕,成功率为33.2%。

结论

该方法从开始到结束仅需2分钟。它简单、快速且可靠,患者满意度高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5be5/5902464/6e41bdf7e73b/RMB2-17-182-g001.jpg

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