国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2013, Vol. 32 ›› Issue (5): 395-399.

• 综述 • 上一篇    下一篇

手术剥除子宫内膜异位囊肿对体外受精-胚胎移植结局的影响

姬萌霞,赵晓明   

  1. 200001 上海交通大学医学院附属仁济医院生殖医学科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-09-15 发布日期:2013-09-15
  • 通讯作者: 赵晓明

Effect of Surgical Treatment for Endometrioma on the Clinical Outcomes of In Vitro Fertilization-Embryo Transfer

JI Meng-xia，ZHA0 Xiao-ming   

  1. Reproductive Medical Center，Renji Hospital，School of Medicine， Shanghai Jiao Tong University, Shanghai 200001，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-09-15 Online:2013-09-15
  • Contact: ZHA0 Xiao-ming

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摘要： 在体外受精-胚胎移植的治疗中，合并子宫内膜异位囊肿的患者结局不良。因此，在采取辅助生殖技术进行治疗前，是否需要手术剥除子宫内膜异位囊肿是临床医生的困惑。近年越来越多的研究发现，手术剥除子宫内膜异位囊肿会损害卵巢储备功能，降低卵巢反应性，手术后患者接受体外受精-胚胎移植治疗的结局并无显著改善。手术引起的损伤与手术过程、术者经验、手术方式都有关。在接受体外受精治疗前，手术剥除子宫内膜异位囊肿对患者并无显著益处，只有在某些特殊情况下才应考虑。

关键词: 子宫内膜异位症, 卵巢囊肿, 受精, 体外, 胚胎移植

Abstract: Patients with endometrioma always have poor IVF outcomes. Before IVF-ET, it is a problem whether to remove surgically endometrioma. Recently，a growing number of studies found that the surgery to remove ovrian endometrioma did not improve IVF outcomes because of the damaged ovarian reserve and lowered responsiveness to gonadotrophins. Meanwhile, the damage degree of surgery is related with operative procedure, surgeons′ experience, and surgical approach. In a word, surgery is not benefit to patients with endometrioma before IVF treatment. The ovarian endometrioma is considered to be treated surgically only under a few special conditions.

Key words: Endometriosis, Ovarian cysts, Fertilization, in vitro, Embryo transfer