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准则编号准则编号 446:在生育疗法中的宫镜手术

Tarek Motan¹, Heather Cockwell², Jason Elliott³

¹Edmonton, AB.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

|February 6, 2024

概括

透镜手术可以诊断和改善不孕症治疗结果,但会带来风险和成本. 确保程序提高不孕症患者的活产率.

科学领域:

生殖医学生殖医学
最少侵入性的妇科手术

背景情况:

不孕症影响了生殖年龄人口的很大一部分.
准确的诊断和有效的治疗对于改善受孕率至关重要.

研究的目的:

评估透镜在治疗女性不孕症中的作用.
评估与透镜手术相关的指示,益处,风险和成本.
为治疗不育患者的妇科医生提供指导.

主要方法:

从2010年1月到2021年5月,对英语文章进行系统审查.
搜索了包括PubMed/MEDLINE,Embase,Scopus和Cochrane图书馆在内的主要数据库.
使用GRADE方法评估证据质量和建议的强度.

主要成果:

胰腺镜外科手术有助于诊断不孕不育的原因,并可以提高治疗成功率.
所有的手术干预都涉及固有的风险和潜在的并发症.
对生育结果的影响是不保证的,并且程序会带来成本.

结论:

宫内镜是治疗不孕症的宝贵工具,如果有必要的话.
妇科医生应该仔细考虑风险,好处和成本.
优先考虑显著改善不育患者活产率的歇斯托拉镜手术.

关键词:

通过透镜检查 (hysteroscopy) 来检查身体.不孕症不孕不育不孕不育不孕不育雷伊奥莫莫莫莫莫莫莫莫莫莫莫组织粘附组织粘附子宫疾病子宫疾病

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