文档介绍：浙江大学硕士学位论文输卵管切除术对体外受精—胚胎移植中控制性超促排卵的影响浙江大学医学院 2001级硕士研究生导师中文摘要妇产科袁俐周馥贞教授目的:探讨输卵管切除术对体外受精一胚胎移植(IVF-ET)周期超促排卵中卵巢反应性的影响。方法:选择因异位妊娠行~侧输卵管切除、双侧输卵管切除的患者与双侧输卵管未切除管性不孕患者,观察在IVF*ET中其卵巢对控制性超排卵的反应。结果:三组患者年龄、促性腺激素用量、获卵数、受精数以及妊娠率间差异无显著性。单侧输卵管切除的患者中输卵管切除侧卵巢获卵数少于对侧,但差异无显著性。结论:输卵管切除术对]VF—ET周期中卵巢反应性以及妊娠率无显著影响。输卵管积水患者拟行IVF-ET前预防性切除输卵管是可行的。浙江大学硕士学位论文碜甜ofsalpingectomy onovarianf&叩OllSe tosuperovulation in allin vitroferti缸ation唧既归tranfferprogram Zhejiane UniversityShoolofMed'wine Postgraduate: Supervisor. YuanLi 理% Fuzhen Abstract 0bjective:To investigate theeffect ofsalpingectomy on theresponse ofoVary inpatientsundergoing allIVF-ET :The ovarian response to superovulation were evaluated in patients who previously had undergone unilateral/bilateralsalpingectomy because of eetopie pregnancy(study group)and patients with tubalinfertility withexisting salpinx served as :There were no differences inthe totalnumbers of retrieved oocytes,fertilized OOCytes, cleaved oocytes,or thepregnancy ratesbetween study and control the patients who hadundergone salpingectomy,there were no differences inthe numbers of retrieved oocytes from也e ovary on the operated sideand contralateral side. Conclusions:Salpingectomy has nosignificant detrimental effect on the totalovarian performance during treatment or e ofIVF— prophylatic laparoscopic salpingectomy prior to IVF inpatientswith hydrosalF'inges Call be performed. 2 浙江大学硕士学位论文输卵管切除术对体外受精一胚胎移植中控制性超促排卵的影响浙江大学医学院 2001级硕士研究生导师妇产科袁俐周馥贞教授输卵管切除术是异位妊娠治疗中常见的手术方式。 妊娠结局有不良影响,,以便提高妊娠率。但输卵管切除是否影响卵巢功能有不同的意见。本文通过比较双侧输卵管切除、一侧输卵管切除以及双侧输卵管未切除的管性不孕患者促排卵周期卵巢的反应,。资料与方法一、研究对象及分组选择2001年1月至2002年12月期间在我院因管性不孕行IVF-ET治疗的258个周期资料。共分三组:。观察组B为 。对照组C为同期因管性不孕行IVF—ET 治疗的149个周期,均为经子宫输卵管造影或B超证实为一侧或双侧输卵管阻塞,通而不畅但无明显积水且未行输卵管切除的患者。二、研究方法观察组以及对照组所有患者均采用长方案控制超摊卵。即于前次月经中黄体期开始应用浙江大学硕士学位论文 ,于月经来潮第3天开始肌