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《Chinese Journal of Difficult and Complicated Cases》 2017-03
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Different therapeutic effects of hydrosalpinx on pregnancy outcome in patients undergoing in vitro fertilization and embryo transfer

LIANG Hui;GUO Yuanli;TANG Qiaofei;CHEN Xiufing;Department of Gynecology,Melzhou People's Hospital,Guangdong Province;  
Objective To investigate the effect of different treatments of hydrosalpinx on pregnancy outcome in patients undergoing in vitro fertilization and embryo transfer(IVF-ET).Methods One hundred and Iwenty-six cases were selected from June 2013 to October 2015 in Meizhou Peoples Hospital,two with tubal factor infertility underwent IVF-ET treatment,ET treatment according to IVF severity before patients with hydrosalpinx were divided into 3 groups,patients in group A(42 cases of mild tubal seeper) y the fallopian tube colostomy; patients in group B(fallopian tube) of 42 cases received moderate hydronephrosis by proximal tubfd ligation and distal stoma; patients in group C(42 cases of tubal severe hydronephrosis)received resection of ihe fallopian tube.Comparison of the 3 groups of patients before and after third menstrual six sex hormone index,antral follicle number,gonadotropin(Gn) dosage,treatment time,hGG injection on the level of E_2,the number of oocytes,embryos,clinical pregnancy rale,abortion rate and ectopic pregnancy rate.Results Three groups of patients before and after third menstrual cycles in six different hormone index level and number of antral follicles had no statistical significance(P 0.05);the differences of six kinds of hormone level and ihe number of anlrd follicle index between the 3 group were not statistically signififant( P 0.05).There was no significant difference in Gn dosage,medication time,E_2 level and the number of embryos transferred between the 3 groups( P 0.05).The number of oocytes in group A and group B was significantly higher than that in group C(P0.05).After 9-month follow-up,There was no significant difference in clinical pregnancy rate,alxjrtion rate and etopics pregnanry rate between the 3 groups( P 0.05).Conclusion Fallopian tube colostomy,proximal tubal ligation and distal stoma,tubal resection in the treatment of IVF-ET patients with hydrosalpinx were able to improve the outcome of pregnancy in palicnts willi tubal resection,but the effect of the number of oocytes decreased ovarian function.
【CateGory Index】: R714.8
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