The outcome of embryo transfer after three different procedures for laparoscopic correction of hydrosalpinx.

IF 2.6 3区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Gynecology & Obstetrics Pub Date : 2024-09-28 DOI:10.1002/ijgo.15932

Juan Wang, Simi Liao, Yanfen Luo, Xiaofeng Pang, Rirong Li, Arshad Mehmood

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引用次数: 0

Abstract

Objective: To compare the effect of three different surgical approaches: simple terminal salpingostomy, bilateral proximal tubal ligation plus terminal salpingostomy, and bilateral salpingectomy.

Methods: A retrospective analysis was conducted on the clinical data of 292 patients who underwent laparoscopic surgery for hydrosalpinx and embryo transfer within 2 years postoperatively from January 2018 to August 2021. The patients were divided into three groups: Group A (68 cases) underwent simple terminal salpingostomy, Group B (199 cases) underwent ligation plus terminal salpingostomy, and Group C (25 cases) underwent bilateral salpingectomy.

Results: Age, body mass index, surgical time, intraoperative bleeding, length of hospital stay, and infertility type showed no significant differences among the different surgical groups (P > 0.05), except for the age 30-39 group, which showed statistically significant differences in surgical time (P < 0.001) and length of hospital stay (P < 0.001); the age 40 or above group showed statistically significant differences in intraoperative bleeding (P = 0.008). A total of 336 oocyte retrievals and 451 embryo transfers were successfully performed in the 292 patients within 2 years postoperatively.

Conclusion: The choice of surgical approach for hydrosalpinx does not affect pregnancy rates after embryo transfer within the same age group.

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三种不同的腹腔镜肾积水矫正术后胚胎移植的结果。

目的：比较三种不同手术方法的效果：比较单纯输卵管末端造口术、双侧输卵管近端结扎加输卵管末端造口术、双侧输卵管切除术三种不同手术方式的效果：对2018年1月至2021年8月期间接受腹腔镜手术治疗输卵管积水并在术后2年内进行胚胎移植的292例患者的临床资料进行回顾性分析。患者被分为三组：A组（68例）行单纯末端输卵管造口术，B组（199例）行结扎加末端输卵管造口术，C组（25例）行双侧输卵管切除术：结果：不同手术组的年龄、体重指数、手术时间、术中出血量、住院时间和不孕类型无显著差异（P>0.05），但 30-39 岁组的手术时间差异有统计学意义（P 结论：输卵管积水患者手术方式的选择应根据患者的具体情况而定：在同一年龄组中，选择何种手术方法治疗肾积水不会影响胚胎移植后的妊娠率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Gynecology & Obstetrics 医学-妇产科学

CiteScore

5.80

自引率

2.60%

发文量

493

审稿时长

3-6 weeks

期刊介绍： The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.