肥胖型不孕妇女行减重手术改善体外受精结局的争议性作用：病例报告及简要综述。

The debated role of bariatric surgery in improving in-vitro fertilization outcomes in morbidly-obese infertile women-a case report and brief overview.

机构信息

Division of Reproductive Medicine, Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan.

Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan; Division of Infertility Clinic, Lee Women's Hospital, Taichung, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2021 Sep;60(5):935-937. doi: 10.1016/j.tjog.2021.07.029.

DOI:10.1016/j.tjog.2021.07.029

PMID:34507679

Abstract

OBJECTIVE

Obesity has a negative impact on in-vitro fertilization (IVF) outcomes, and obese women who plan IVF treatments are often encouraged to pursue weight reduction. Bariatric surgery is an effective strategy for the treatment of morbidly obese women. The current case report is to investigate the impact of bariatric surgery on IVF outcome in a morbidly obese woman with subfertility.

CASE REPORT

A 37-year-old, morbidly obese woman with subfertility was indicated for IVF treatment. Due to her high body mass index (47.9 kg/m), she was advised to lose weight; initial failure at conservative measures of weight loss prompted her to undergo bariatric surgery, combined with post-operative lifestyle change, prior to receiving IVF treatment. The woman successfully conceived at the second cycle and delivered twins by cesarean section smoothly at 36 + 3/7 weeks of gestation. Both twins have normal development up to two years of age.

CONCLUSIONS

Weight reduction mediated by bariatric surgery in subfertile and morbidly obese women can be considered before IVF treatment.

摘要

目的

肥胖对体外受精（IVF）结局有负面影响，因此常鼓励计划接受 IVF 治疗的肥胖女性减肥。减重手术是治疗病态肥胖女性的有效策略。本病例报告旨在探讨肥胖症女性不孕接受 IVF 治疗前接受减重手术对 IVF 结局的影响。

病例报告

一名 37 岁的病态肥胖伴不孕女性被建议接受 IVF 治疗。由于她的体重指数（BMI）较高（47.9 kg/m），她被建议减肥；最初保守减肥措施失败后，她在接受 IVF 治疗前接受了减重手术，并结合术后生活方式改变。该女性在第二次周期成功受孕，并在 36+3/7 周的妊娠时通过剖宫产顺利分娩了双胞胎。双胞胎在两岁时发育正常。