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目的探讨输卵管积水的处理对体外受精-胚胎移植(IVF-ET)治疗效果的影响。方法回顾性分析2005年1月至2006年5月因输卵管因素不孕行IVF-ET治疗的468个周期资料,根据输卵管情况分为3组。A组:输卵管积水未经治疗行IVF-ET126个周期;B组:输卵管积水切除后行IVF-ET102个周期;C组:单纯输卵管阻塞240个周期作为对照。结果3组的种植率分别为8.7%、19.6%、18.3%,临床妊娠率分别为16.7%、39.2%、35.0%。A组的种植率及妊娠率较低,差异有统计学意义(P<0.05)。结论输卵管积水未处理前行IVF-ET的种植率及临床妊娠率较低,而输卵管积水处理后明显提高IVF-ET的种植率及妊娠率。
Objective To investigate the effect of treatment of tubal hydrops on IVF-ET. Methods The data of 468 cycles treated with IVF-ET for infertility due to fallopian tube were analyzed retrospectively from January 2005 to May 2006, and divided into 3 groups according to the fallopian tube. Group A: IVF-ET126 cycles without tubal hydrops; Group B: 102 cycles of IVF-ET after hydrosalpinx excision; Group C: 240 cycles with simple tubal occlusion as control. Results The implantation rates of the three groups were 8.7%, 19.6% and 18.3% respectively, and the clinical pregnancy rates were 16.7%, 39.2% and 35.0% respectively. The implantation rate and pregnancy rate of group A were lower, the difference was statistically significant (P <0.05). Conclusion The implantation rate and clinical pregnancy rate of IVF-ET before untreated tubal hydrops are low, and the hydrosalpinx IVF-ET implantation rate and pregnancy rate are obviously increased after tubal hydrops.