Tesarík J, Pilka L, Dvorák M, Trávník P
Fertil Steril. 1983 Apr;39(4):472-75. doi: 10.1016/s0015-0282(16)46934-7.
A method combining recovery of a preovulatory oocyte, its in vitro insemination, and transfer into the oviduct with tubal microsurgery at a single laparotomy is described. Of four women in whom tubal microsurgery was clinically indicated and the accompanying tubal transfer of an oocyte inseminated in vitro was performed, two became pregnant. It is not clear whether fertilization occurred in vitro or in vivo. One of the pregnancies miscarried in the fifth week after surgery; the other pregnancy continued without any complications. A normal male infant was subsequently delivered at term. The proposed method is discussed as a possible alternative to in vitro fertilization and embryo transfer in some cases of infertility and as a suitable supplemental procedure in some cases in which tubal microsurgery is indicated.
本文描述了一种在单次剖腹手术中,将排卵前卵母细胞的回收、体外受精以及通过输卵管显微手术将其转移至输卵管相结合的方法。在四名临床上有输卵管显微手术指征并进行了体外受精的卵母细胞输卵管内移植的女性中,有两名怀孕。目前尚不清楚受精是发生在体外还是体内。其中一次怀孕在术后第五周流产;另一次怀孕则无任何并发症地持续进行。随后足月分娩出一名正常男婴。该方法被讨论为在某些不孕症病例中作为体外受精和胚胎移植的一种可能替代方案,以及在某些有输卵管显微手术指征的病例中作为一种合适的补充程序。