回應動人的求子故事-30的一篇權威的不孕期刊-患者無法經陰道超音波濾泡穿刺取卵與卵巢的患者行經腹部超音波濾泡穿刺取卵

回應動人的求子故事-30的一篇權威的不孕期刊

 

生育與絕育。 2011年4月，95（5）:1773-6。
患者無法經陰道超音波濾泡穿刺取卵與卵巢的患者行經腹部超音波濾泡穿刺取卵。

 

美國哈佛大學的研究。

抽象
目的：探討患者無法經陰道超音波濾泡穿刺取卵與卵巢的患者行經腹部超音波濾泡穿刺取卵。

設計：回顧性病例對照研究。

背景：大學醫院為基礎的體外授精（IVF）診所。

病人（S）：69名婦女接受經腹部卵泡穿刺取卵，包括12例的混合腹部/陰道卵泡穿刺取卵，與對照的年齡，卵泡數，和程序進行標準的相比，。

介入治療（S）：無法透過標準的經陰道抽吸時經腹部超音波濾泡穿刺取卵一個或多個卵巢的卵泡穿刺。

主要觀察指標（S）：總和的成熟的卵母細胞，損壞的卵母細胞，受精率，胚胎數量和質量，以及臨床和正在進行的懷孕率。

結果（S）：雖然腹部卵泡穿刺取卵取得較少的卵母細胞，但發現損壞的卵母細胞，受精率，胚胎的數量和質量，或懷孕率，但差異無統計學意義。在12年的經驗，僅一個併發症需要住院治療。

（S）結論：這項研究表明，經經腹部超音波濾泡穿刺取卵是安全和有效的，產生顯著的的卵巢位移，通常位於正常位置的卵巢的婦女，經陰道抽吸取得的成果與婦女的臨床結果。當卵巢顯著的卵巢位移(如大肌腺瘤及嚴重沾黏)無法經陰道超音波濾泡穿刺取卵改採陰道經腹部超音波濾泡穿刺是應該的選擇。

 

 

原文摘要

 

Fertil Steril. 2011 Apr;95(5):1773-6.

Transabdominal follicular aspiration for oocyte retrieval in patients with ovaries inaccessible by transvaginal ultrasound.

 

Barton SE, Politch JA, Benson CB, Ginsburg ES, Gargiulo AR.

SourceDivision of Reproductive Medicine, Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA.

 

Abstract

OBJECTIVE: To investigate the efficacy of ultrasound-guided transabdominal follicular aspiration when the ovaries are not accessible transvaginally.

 

DESIGN: Retrospective case-control study.

 

SETTING: University-hospital based in vitro fertilization (IVF) clinic.

 

PATIENT(S): 69 women undergoing transabdominal follicular aspiration for oocyte retrieval, including 12 cases of mixed abdominal/vaginal aspiration, compared with controls matched by age, follicle number, and year of procedure undergoing standard transvaginal aspiration.

 

INTERVENTION(S): Transabdominal follicular aspiration when one or more ovaries could not be retrieved via standard transvaginal aspiration.

 

MAIN OUTCOME MEASURE(S): Total and mature oocytes retrieved, damaged oocytes, fertilization rate, embryo number and quality, and clinical and ongoing pregnancy rates.

 

RESULT(S): Cases of transabdominal aspiration had slightly fewer oocytes retrieved, but no statistically significant differences were found for damaged oocytes, fertilization rates, embryo number and quality, or pregnancy rates. In 12 years, one complication requiring hospitalization was noted.

 

CONCLUSION(S): This study demonstrates that transabdominal ultrasound-guided follicular aspiration is safe and efficacious, yielding clinical results in women with significant ovarian displacement, comparable with results achieved by transvaginal aspiration in women with normally positioned ovaries. Transabdominal ultrasound-guided aspiration should be the modality of choice when the ovaries are not accessible transvaginally.