输卵管积水患者经宫腔镜输卵管栓堵术与经腹腔镜输卵管结扎术后冻胚移植妊娠结局的比较研究

目的:比较经宫腔镜输卵管栓堵术与经腹腔镜输卵管结扎术在不孕症患者冻胚移植(FET)助孕中的优势,以期为输卵管积水处理的临床选择提供数据支撑.方法:回顾分析2016～2019年因输卵管积水行常规FET治疗的不孕症患者的临床资料,按FET前患者的输卵管积水处理方式分为栓堵组(A组,n=37)与结扎组(B组,n=111).从...

Comparison of pregnancy outcomes after frozen embryo transplantation between patients with hydrosalpinx after hysteroscopic tubal embolization and laparoscopic tubal ligation

Objective:To compare the advantages and disadvantages of hysteroscopic tubal occlusion and laparoscopic tubal ligation in the treatment of infertility patients with frozen embryo transfer(FET),aiming to provide data supporting the clinical selection of hydrosalpinx treatment.Methods:The clinical data of infertile hydrosalpinx patients treated by routine FET from 2016 to 2019 were retrospectively analyzed.According to the treatment of hydrosalpinx before FET,patients were divided into suppository group(group A,n=37)and ligation group(group B,n=111).The aspects of operation duration,hospitalization cost,operation risk,the first FET pregnancy outcome after operation were compared for the advantages and disadvantages of the two methods.Results:The operative duration of group A was(46.5±21.1)min,which was significantly shorter than(59.7±21.7)min in group B(t=3.274,P<0.05).The postoperative interval time between transplantation of group A was(6.5±8.2)months,which was significantly longer than(3.0±2.6)months in group B(t=2.599,P<0.05).Implantation rate(51.3%vs.75.4%,P<0.05),clinical pregnancy rate(48.6%vs.77.5%,P<0.05)and live birth rate(37.8%vs.69.4%,P<0.05)of group A were significantly lower than those of group B.There was no statistically significant difference in total hospitalization cost,rate of early abortion and late abortion between the two groups(P>0.05).Conclusions:Laparoscopic tubal ligation is superior to hysteroscopic tubal embolization in improving pregnancy rate,but the latter can still be used as a preferred alternative of laparoscopic surgery in patients with complex pelvic environment,hysteroscopic tubal embolization has a good prospect of clinical application.