输卵管性不孕的IVF-ET结局

The outcomes of tubal infertility undergoing in vitro fertilization-embryo transfer

目的探讨输卵管病变对体外受精-胚胎移植(IVF-ET)结局的影响。方法将实施IVF-ET治疗的患者分为输卵管因素组和非输卵管因素组,分别统计其临床妊娠率,胚胎种植率,异位妊娠发生率,流产率及活产率。结果输卵管因素组的临床妊娠率(64.35%),异位妊娠发生率(2.74%)和流产率(32.20%)显著高于非输卵管因素组(54.64%),(0.62%)和(18.40%),活产率(65.16%)显著低于非输卵管因素组(80.90%),二者的胚胎种植率无显著差异。结论输卵管性不孕患者接受IVF-ET治疗可获得较高的临床妊娠率,但须警惕异位妊娠和自然流产的发生。

Objective：To explore the effects of tubal disease on the outcomes of in vitro fertilization-embryo transfer（IVFET）.Metheds：The patients undergoing IVF-ET were divided into two groups,tubal factor group and non-tubal factor group.The rates of clinical pregnancy,implantation,ectopic pregnancy,miscarriage and live birth were analysed respectively.Result：The rates of clinical pregnancy（64.35%）,ectopic pregnancy（2.74%）and miscarriage（32.20%）in tubal factor group were significantly higher than those in the non-tubal factor group（54.64%）,（0.62%）and（18.40%）,but the live birth rate（65.16%）was significantly lower than that of non-tubal factor group（80.90%）.As to effects on implantation rate,there were no significantly differences in two groups.Conclusion：The tubal infertility patients undergoing IVF-ET have a higher clinical pregnancy rate,but should be alert to the occurrences of ectopic pregnancy and miscarriage.