Reproductive and Genetic Hospital of CITIC-XIANGYA, Changsha, China (Drs. Chen, Lin, Lu, and Gong).
Institute of Reproductive and Stem Cell Engineering, Basic Medicine College, Central South University, Changsha, China (Drs. Jiang, Lin, and Gong).
J Minim Invasive Gynecol. 2019 Sep-Oct;26(6):1157-1163. doi: 10.1016/j.jmig.2018.08.033. Epub 2018 Nov 30.
To investigate the effectiveness of Tornado and Hilal (Cook Medical, Bloomington, IN) hysteroscopic proximal tubal occlusion (HPTO) for hydrosalpinx (HX) treatment before in vitro fertilization (IVF) and embryo transfer (ET) in patients with dense pelvic adhesions or low ovarian reserve.
A retrospective study of patients treated between May 2014 and May 2016 (Canadian Task Force classification III).
A university-affiliated center.
One hundred fifty women with unilateral or bilateral HX who were not candidates for laparoscopic surgery.
Tornado or Hilal HPTO before IVF-ET and/or frozen ET.
The main outcome was the cumulative live birth rate. Tornado or Hilal placement was successful for 143 (95.3%) patients. Of the 132 patients who underwent 204 ET cycles, 86 (65.2%) conceived, and 78 (59.1%) resulted in live births. The overall early and late miscarriage rates per clinical pregnancy were 12.8% and 1.1%, respectively. The ectopic pregnancy rate was 2.3%. No major complications occurred.
Tornado or Hilal HPTO is an effective alternative for treating HX before IVF-ET/frozen ET in patients with dense pelvic adhesions or low ovarian reserve.
探讨在盆腔致密粘连或卵巢储备功能低下的患者中，Tornado 和 Hilal（库克医疗，布卢明顿，印第安纳州）宫腔镜近端输卵管阻塞（HPTO）治疗输卵管积水（HX）在体外受精（IVF）和胚胎移植（ET）前的有效性。
一项对 2014 年 5 月至 2016 年 5 月期间接受治疗的患者进行的回顾性研究（加拿大任务组分类 III）。
一所大学附属医院。
150 名单侧或双侧 HX 且不适合腹腔镜手术的患者。
Tornado 或 Hilal HPTO 用于 IVF-ET 和/或冷冻 ET 前。
主要结局是累积活产率。Tornado 或 Hilal 放置术成功治疗了 143 名（95.3%）患者。在 132 名接受 204 次 ET 周期的患者中，86 名（65.2%）受孕，78 名（59.1%）妊娠成功。总的早期和晚期流产率分别为 12.8%和 1.1%。异位妊娠率为 2.3%。未发生重大并发症。
在盆腔致密粘连或卵巢储备功能低下的患者中，Tornado 或 Hilal HPTO 是治疗 IVF-ET/冷冻 ET 前 HX 的有效替代方法。
