Ransom M X, Corsan G H, Garcia A J, Doherty K A, Kemmann E
Department of Obstetrics and Gynecology, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick.
Fertil Steril. 1994 Feb;61(2):386-9. doi: 10.1016/s0015-0282(16)56536-4.
When both fallopian tubes appear normal, tubal selection for GIFT is left to the surgeon's discretion. We were interested to learn whether pregnancy rates were influenced by the choice of tubal transfer in relation to ovarian dominance. Ovarian dominance was defined sonographically as the ovary containing the greater number of follicles having a mean diameter > 16 mm. In a retrospective analysis of 144 GIFT procedures, the clinical pregnancy rate for transfers performed to the tube ipsilateral to the dominant ovary was significantly higher than that of transfers made to the contralateral tube (0.414 versus 0.228, P = 0.042). This difference could not be attributed to either patient characteristics or cycle performance. We suggest that gamete transfer be performed ipsilateral to the side with the greater number of dominant follicles to optimize pregnancy rates.
当双侧输卵管外观正常时，输卵管内配子移植（GIFT）的输卵管选择由外科医生自行决定。我们很想了解妊娠率是否受与优势卵巢相关的输卵管移植选择的影响。超声检查将优势卵巢定义为含有更多平均直径>16mm卵泡的卵巢。在对144例输卵管内配子移植手术的回顾性分析中，移植至优势卵巢同侧输卵管的临床妊娠率显著高于移植至对侧输卵管的妊娠率（0.414对0.228，P=0.042）。这种差异不能归因于患者特征或周期表现。我们建议将配子移植至优势卵泡数量较多一侧的同侧，以优化妊娠率。
