Application of Hysteroscopic Tubal Occlusion in Patients with Hydrosalpinx before in vitro Fertillization and Embryo Transfer

Abstract

Abstract: Objective：To evaluate the application of hysteroscopic tubal occlusion in those patients with hydrosalpinx before in vitro fertilization and embryo transfer (IVF-ET). Methods：One hundred and seventy two cases of hydrosalpinx were retrospectively analyzed in our hospital from 2015 to 2016. A total of 100 cases were performed hysteroscopic tubal occlusion (the group A) before IVF-ET, with 67 cycles of fresh embryo transfer and 76 cycles of blastocyst embryo transfer. Seventy two cases were performed laparoscopic proximate tubal ligation (as the group B) before IVF-ET, with 72 cycles of fresh embryo transfer and 64 cycles of blstocyst embryo transfer. The operation time, fertilization rate, high quality embryo rate, clinical pregnancy rate and abortion rate were analyzed. Results：The operation time in the group A was less than that in the group B [(21.18±7.89) min vs (44.56±20.30) min, P＜0.001]. There were no significant differences in the fertilization rate, high quality embryo rate, clinical pregnancy rate，abortion rate and miscarriage rate between the two groups (P＞0.05). Conclusions：The pregnancy outcome in those patients with hydrosalpinx who underwent the hysteroscopic tubal occlusion before IVF-ET was same as that in those laparoscopic proximate tubal ligation. Hysteroscopic tubal occlusion is a simple surgery with the advantages of minimal invasive, short operation time, no need of general anesthesia. and outpatient operation.

Key words: Hysteroscopes, Fallopian tubes, Fallopian tube obstruction, Fertilization in vitro, Embryo transfer, Microcoils

XU Wei，WENG Ning，HUANG Xiao-wu，LIU Ji. Application of Hysteroscopic Tubal Occlusion in Patients with Hydrosalpinx before in vitro Fertillization and Embryo Transfer[J]. Journal of International Reproductive Health/Family Planning, 2017, 36(3): 199-203.

References

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