在输卵管外妊娠中保守和手术方法对生育能力的影响
Riza Dur1, Aysel Nalcakan2, Okan Aytekin3
1From the Department of Obstetrics and Gynecology, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
Annals of Saudi medicine
|June 10, 2024
概括
宫外妊娠治疗,包括医疗和手术选择,在未来的生育率上没有显著差异. 临床医生可以自信地选择手术干预,而不会影响生殖结果.
科学领域:
- 生殖医学 生殖医学
- 妇科外科手术 妇科外科
- 产科 产科 产科 产科 产科
背景情况:
- 宫外妊娠管理包括医疗,预产期和手术选择.
- 关键问题包括治疗的有效性,复发风险和生育能力的保护.
研究的目的:
- 确定异胎妊娠的医疗治疗与手术治疗对未来生育能力的影响.
- 为了比较保守和外科手术异位妊娠管理后的生殖结果.
主要方法:
- 在2016年6月至2019年11月期间,对202名因子宫外妊娠而接受治疗的患者进行了回顾性研究.
- 患者被分为保守的 (预期或甲状腺) 和手术的 (镜salpingectomy) 组.
- 治疗后两年内评估了生育率,怀孕的时间,活产和不孕率.
主要成果:
- 在保守和手术组之间,没有观察到怀孕时间 (17.0 vs 19.0 个月) 的显著差异.
- 活产率 (51.6%与44.6%) 和随后的宫外妊娠率 (2.3%与1.4%) 是相似的.
- 不孕率 (35.9%对41.9%) 和试管婴儿计划录取率 (3.9%对6.8%) 在不同组之间没有显著差异.
结论:
- 生殖结果是相似的,无论是否使用预期管理,医疗治疗或手术来治疗子宫外妊娠.
- 异胎妊娠的手术治疗可以在不影响未来生育能力的情况下得到青.
- 这些发现支持临床决策,优先考虑外宫妊娠时的外科手术.
更多相关视频
05:46Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
10.0K
08:09Tubal Cytology of the Fallopian Tube as a Promising Tool for Ovarian Cancer Early Detection
Published on: July 25, 2017
12.3K
相关概念视频
Birth Control Methods
230
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
230
Infertility in Females
292
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
292
Infertility in Males
260
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
260
Uterine Tubes
592
The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
592
In Vitro Fertilization
247
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
247
Spermatogenesis
102.4K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.4K
