摘要
【目的】探讨卵巢子宫内膜异位囊肿手术对IVF-ET周期临床结局的影响。【方法】将181例重度子宫内膜异位症患者分为卵巢巧克力囊肿手术组与卵巢未手术组,单侧卵巢巧克力囊肿剥除组与双侧巧囊剥除组,比较组间的基础卵巢功能,Gn用量及时间,获卵数,受精率,冻胚周期数,临床妊娠率及种植率。【结果】手术组Gn用量显著增多(47.1±9.7 vs 43.8±10.6),取卵数明显减少(8.1±4.6 vs 9.6±5.0),种植率下降(43.5%vs 47.9%).;两组的受精率,冷冻胚胎比率及妊娠率无统计学差异。单侧巧克力囊肿手术组的基础窦卵泡计数明显多于双侧手术组(10.8±3.8 vs 8.3±2.6),Gn用量,取卵数,妊娠率,种植率两组间均无统计学差异。【结论】卵巢巧克力囊肿手术后IVF周期卵巢对Gn反应性下降,获卵数减少,Gn用量增加,种植率下降。
[Objective] To discuss the effect of surgical treatment for endometrioma on in vitro fertilization clinical outcomes. [Methods] To compare the ovarian function, Gn amounts, ovarian retrieval numbers, pregnancy rate and implantation rate between the surgical treatment group and non-surgical treatment group. Those comparisons were also done between the lateral endometrioma surgical treatment group and bilateral endometrioma surgical treatment group. [Results] There were statistical differences between the surgical treatment group and non-surgical treatment group of Gn amount （47.1 ± 9.7 vs 43.8 ±10.6） , ovarian retrieval numbers（8.1 ±4.6 vs 9.6 ±5.0）, and implantation rates（43.5% vs 47.9 %）. The antral follicle counts of the lateral endometrioma surgical treatment group were more than the bilateral endometrioma surgical treatment group statistically（10.8 ±3.8vs8.3 ±2.6）.There were no statistical differences between the two groups of Gn amount, ovarian retrieval numbers, pregnancy rate and implantation rate. [ Conclusion ] The surgical treatment of ovarian endometrioma before IVF-ET cycles would reduce the ovarian response, oocyte numbers and implantation rates.
出处
《武警医学院学报》
CAS
2012年第6期431-433,443,共4页
Acta Academiae Medicinae CPAPF
