在先前治愈的结核病患者体外受精结果:一项回顾性研究
Xue Feng1,2, He Cai2, Xitong Liu2
1The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Archives of gynecology and obstetrics
|March 4, 2026
概括
治愈结核病并没有影响不育妇女体外受精结果. 然而,细胞体内精子注射 (ICSI) 协议显示,在有结核病史的妇女中,怀孕和活产率较低.
科学领域:
- 生殖医学 生殖医学
- 传染性疾病 传染性疾病
背景情况:
- 调查治疗结核病对女性不孕症和辅助生殖技术的影响.
- 评估结核病对生殖健康结果的长期影响.
研究的目的:
- 为了确定结核病史是否会影响不育妇女的辅助生殖结果.
- 为了比较不同辅助生殖方案和结核病类型之间的结果.
主要方法:
- 追溯性队列研究,比较有或没有结核病史的不育妇女.
- 对体外受精 (IVF) 和细胞内精子注射 (ICSI) 结果的分析.
- 新鲜与冷解周期的比较以及不同结核病分类.
主要成果:
- 在IVF中,结核病和对照组之间的怀孕或活产率没有显著差异.
- 在结核病组的ICSI协议中观察到较低的怀孕和活产率 (P=0.027).
- 新生周期显示出不同的结果:较低的怀孕率,但在试管婴儿中较高的活产率,与冷解周期相比,ICSI的活产率较低.
结论:
- 治愈结核病不会对不孕妇女的试管婴儿结果产生负面影响.
- 内细胞质精子注射 (ICSI) 的结果受到结核病史的负面影响.
- 怀孕结果在新鲜和冷-解周期之间有所不同,取决于协议 (IVF与ICSI).
- 根据结核病类型 (盆腔与肺部) 的结果没有显著差异.
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