摘要
近年来越来越多的研究证实输卵管积水对IVF-ET结局有负面影响,主要表现为着床率和妊娠率降低以及异位妊娠率和流产率升高。输卵管积水可能通过机械性作用、胚胎毒性、降低子宫内膜容受性和卵巢功能等影响IVFET妊娠结局。IVF-ET前对输卵管积水进行治疗处理,可提高妊娠率,改善妊娠结局。但是因为各种手术的利弊和患者的个体差异,目前对于输卵管积水的处理原则尚不统一。中医药治疗可采用多种方法治疗输卵管积水,有一定的临床疗效和治疗优势。手术和IVF-ET治疗前后可联合中医药疗法,中西医结合治疗更有助于提高IVF-ET成功率。
In recent years,more and more studies have confirmed that hydrosalpinx has a negative impact on the outcome of IVF-ET,mainly due to decreased implantation rate and pregnancy rate as well as elevated ectopic pregnancy rate and abortion rate.Hydrosalpinx may affect the outcome of IVF-ET pregnancy through mechanical effects,embryotoxicity,reducing endometrial receptivity and affecting ovarian function.Treating hydrosalpinx before IVF-ET can significantly improve the pregnancy outcome.However,due to the advantages and disadvantages of various operations and the individual differences of patients,the current principles for the treatment of hydrosalpinx are not uniform.Traditional Chinese medicine treatment can use a variety of methods to treat hydrosalpinx,which has certain clinical efficacy and therapeutic advantages.Surgery and IVF-ET can be combined with traditional Chinese medicine before and after treatment.The combination of traditional Chinese and Western medicine is more helpful to improve the success rate of IVF-ET.
作者
李冰冰
刘雁峰
梁嘉玲
吴杨乔
罗杰
奚婷
徐梦白
LI Bingbing;LIU Yanfeng;LIANG Jialing;WU Yangqiao;LUO Jie;XI Ting;XU Mengbai(Jining Medical University,Jining 272067,Shandong,China;Dongzhimen Hospital Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《辽宁中医杂志》
CAS
2020年第2期70-73,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81473721)
山东省中西医结合临床重点学科项目(2014-29)。
