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
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).
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.
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