阴道超声下输卵管积水最大直径对体外受精胚胎移植结局的影响

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摘要目的探讨阴道超声下输卵管积水的量对体外受精胚胎移植临床结局的影响。方法回顾性分析2015年9月—2020年12月在本院首次进行体外受精胚胎移植的患者,根据HCG日阴道超声下输卵管积水的直径分为4组,≤20 mm组(n=155),20 mm＜积水≤40 mm组(n=215),40 mm＜积水≤60 mm(n=200),＞60 mm(n=197),对照组为促排卵过程中超声均未发现输卵管积水组(n=200)。分别比较各研究组和对照组一般情况、治疗过程及临床结局。结果各组一般情况、治疗过程与对照组比较差异无统计学意义(P ＞ 0.05)。与无积水组相比,生化妊娠率、临产妊娠率、胚胎着床率、活产率随着积水增加程逐渐下降趋势,＞60 mm 组与无积水组比较差异均有统计学意义(P=0.001、0.002、0.007、0.004)。生化妊娠流产率各组均较无积水组高,＞60 mm 组与无积水组比较差异有统计学意义(P=0.049)。结论阴道超声下可见输卵管积水未经处理对妊娠结局产生不良影响,输卵管积水的直径越大对胚胎移植临床结果的影响就越大,当积水直径大于40 mm应该高度关注,当积水直径大于60 mm 时强烈建议先行预处理后再行胚胎移植术。

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	莫馥华
	莫似恩
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关键词 ：阴道超声, 输卵管积水, 妊娠结局, 预处理

收稿日期: 2022-07-15

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R17

引用本文:

莫馥华, 莫似恩, 李洁. 阴道超声下输卵管积水最大直径对体外受精胚胎移植结局的影响[J]. 中国生育健康杂志, 2024, 35(1): 71-74.

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http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2024/V35/I1/71

1 刘艳.输卵管积水对辅助生殖影响机制的研究进展.国际生殖健康/计划生育杂志,2012,31:239-241,252.
2 Cina M,Baumann L,Egli-Gany D,et al.Mycoplasma genitalium incidence,persistence,concordance between partners and progression:systematic review and meta-analysis.Sex Transm Infect,2019,95:328-335.
3 Zeyneloglu HB,Arici A,Olive DL.Adverse effects of hydrosalpinx on pregnancy rates after in vitro fertilization-embryo transfer.Fertil Steril,1998,70:492-499.
4 Akman MA,Garcia JE,Damewood MD,et al.Hydrosalpinx affects the implantation of previously cryopreserved embryos.Hum Reprod,1996,11:1013-1014.
5 Ou H,Sun J,Lin L,et al.Ovarian response,pregnancy outcomes,and complications between salpingectomy and proximal tubal occlusion in hydrosalpinx patients before in vitro fertilization:a meta-analysis.Front Surg,2022,9:830612.
6 Liu H,Yao Z,Zhang R,et al.Effect of recurrence of hydrosalpinx after tubal ligation on the outcome of in vitro fertilization treatment:a retrospective cohort study.Gynecol Minim Invasive Ther,2020,9:118-122.
7 Hong X,Ding WB,Yuan RF,et al.Effect of interventional embolization treatment for hydrosalpinx on the outcome of in vitro fertilization and embryo transfer.Medicine(Baltimore),2018,97:e13143.
8 Yoshinaga K.Research on Blastocyst Implantation Essential Factors(BIEFs).Am J Reprod I mmunol,2010,63:413-424.
9 Palagiano A,Cozzolino M,Ubaldi FM,et al.Effects of Hydrosalpinx on Endometrial Implantation Failures:Evaluating Salpingectomy in Women Undergoing in vitro fertilization.Rev Bras Ginecol Obstet,2021,43:304-310.
10 Daftary GS,Taylor HS.Endocrine regulation of HOX genes.Endocr Rev,2006,27:331-355.
11 Daftary GS,Kayisli U,Seli E,et al.Salpingectomy increases peri-implantation endometrial HOXA10 expression in women with hydrosalpinx.Fertil Steril,2007,87:367-372.
12 Camus E,Poncelet C,Goffinet F,et al.Pregnancy rates after in-vitro fertilization in cases of tubal infertility with and without hydrosalpinx:a meta-analysis of published comparative studies.Hum Reprod,1999,14:1243-1249.
13 Andersen AN,Yue Z,Meng FJ,et al.Low implantation rate after in-vitro fertilization in patients with hydrosalpinges diagnosed by ultrasonography.Hum Reprod,1994,9:1935-1938.
14 Barmat LI,Rauch E,Spandorfer S,et al.The effect of hydrosalpinges on IVF-ET outcome.J Assist Reprod Genet,1999,16:350-354.
15 张利琴,赖福彬.经阴道超声诊断输卵管积水.中国医药指南,2016,14:18-19.