腹腔镜治疗子宫内膜异位症在体外受精周期失败患者中的作用

Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles
作者:Luittman E, Giudice L, Lathi R 【View at publisher】
期刊: FERTIL STERIL2012年5月期卷 专家评级:★★ 循证评级:B

Abstract
Objective:
To report our experience in patients with previous IVF failures who conceived after laparoscopic treatment of endometriosis.

Design:
Retrospective case series.

Setting:
Tertiary center IVF and endoscopy programs.

Patient(s):
Infertility patients with history of prior IVF failures.

Intervention(s):
Laparoscopic evaluation and treatment of endometriosis by the same surgeon.

Main Outcome Measure(s):
Occurrence of conception after laparoscopic treatment of endometriosis.

Result(s):
Of 29 patients with prior IVF failures, 22 conceived after laparoscopic treatment of endometriosis, including 15 non-IVF pregnancies and 7 IVF pregnancies (Table 2).

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Table 2: Comparison of Patients With a History of Prior Failed IVF Cycles, Who Underwent Laparoscopic Treatment of Endometriosis to Patients Who Did Not Undergo Laparoscopic Treatment

Conclusion(s):
In the absence of tubal occlusion or severe male factor infertility, laparoscopy may still be considered for the treatment of endometriosis even after multiple IVF failures.

学科代码:妇产科学   关键词:腹腔镜治疗子宫内膜异位症在体外受精周期失败患者中的作用
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