生殖器结核不孕患者临床资料及IVF结局分析
目的分析生殖器结核(FGT)不孕患者的临床特点及体外受精-胚胎移植(IVF-ET)的治疗结局。方法对198例行IVF治疗的FGT患者的临床资料进行回顾性分析。结果 FGT不孕患者共198例,占IVF助孕患者的5.8%,占输卵管性不孕患者的9.3%。其中盆腔腹膜结核115例,输卵管结核79例,子宫内膜结核4例。139例(70.2%)经开腹或腹腔镜手术确诊,55例(27.8%)通过病史结合子宫输卵管造影(HSG)+结核菌素试验(PPD)确诊,4例(2.0%)通过诊刮或宫腔镜检查确诊。198例患者共行309个取卵周期,381个新鲜及冷冻胚胎移植周期,累计移植周期临床妊娠率37.0%,早期流产率23....
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Published in | 山东医药 Vol. 56; no. 7; pp. 4 - 6 |
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Main Author | |
Format | Magazine Article |
Language | Chinese |
Published |
河北医科大学第四医院,石家庄,050011%河北北方学院附属第二医院
2016
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Subjects | |
Online Access | Get full text |
ISSN | 1002-266X |
DOI | 10.3969/j.issn.1002-266X.2016.07.002 |
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Summary: | 目的分析生殖器结核(FGT)不孕患者的临床特点及体外受精-胚胎移植(IVF-ET)的治疗结局。方法对198例行IVF治疗的FGT患者的临床资料进行回顾性分析。结果 FGT不孕患者共198例,占IVF助孕患者的5.8%,占输卵管性不孕患者的9.3%。其中盆腔腹膜结核115例,输卵管结核79例,子宫内膜结核4例。139例(70.2%)经开腹或腹腔镜手术确诊,55例(27.8%)通过病史结合子宫输卵管造影(HSG)+结核菌素试验(PPD)确诊,4例(2.0%)通过诊刮或宫腔镜检查确诊。198例患者共行309个取卵周期,381个新鲜及冷冻胚胎移植周期,累计移植周期临床妊娠率37.0%,早期流产率23.4%,异位妊娠率2.1%,活产率27.6%。105例患者获得活产,单胎87例、双胎18例。2例患者经IVF治疗并妊娠后,出现活动性肺结核。结论 FGT不孕患者盆腔及输卵管病变严重,腹腔镜或开腹探查是主要确诊方法。FGT患者IVF临床妊娠率偏低,需警惕治疗中发生活动性肺结核。 |
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Bibliography: | GUO Lina, WANG Xuping, LYU Cuiting, JIA Xinzhuan, NIE Zhaoyan, ZHAO Suying ( 1 The Fourth Hospital of Hebei University, Shijiazhuang 050011, China) 37-1156/R Objective To analyze the clinical characteristics and the outcomes of in vitro fertilization and embryo transfer( IVF-ET) in infertile patients with genital tuberculosis( FGT). Methods The clinical data of 198 cases of FGT patients who treated by IVF were analyzed retrospectively. Results Totally 198 cases of infertility patients with FGT accounted for 5. 8% of the IVF patients,and accounted for 9. 3% of IVF patients with tubal infertility. Of which 115 cases were pelvic peritoneal tuberculosis,79 cases were tubal tuberculosis,and 4 cases were endometrial tuberculosis. One hundred and thirty-nine cases( 70. 2%) were diagnosed by laparotomy or laparoscopic surgery,55 cases were diagnosed by hysterosalpingography( HSG) + tuberculin test( PPD),and 4 cases were diagnosed by curettage or hysteroscopy. A total of 309 oocyte retrieval cycles and 381 fresh and fro |
ISSN: | 1002-266X |
DOI: | 10.3969/j.issn.1002-266X.2016.07.002 |