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目的探讨预防在体外受精-胚胎移植(IVF-ET)时输卵管残端妊娠的新方法及输卵管栓塞在临床上的应用价值。资料与方法 15例输卵管残留患者,双侧输卵管切除4例,单侧切除11例,共测量输卵管残端19侧,子宫输卵管造影术显示残留的输卵管长度为10～36 mm,平均16.8 mm。15例均行输卵管栓塞术,术后行IVF-ET观察并记录临床妊娠率及异位妊娠率等指标。结果 15例患者双侧输卵管均行输卵管微弹簧圈栓塞,效果显著。术后行IVF-ET,临床妊娠率60%(9/15),输卵管妊娠率为0。结论输卵管栓塞术应用于IVF-ET前对输卵管残端进行处理,以预防输卵管残端异位妊娠,是一种简便、安全、经济、有效的新方法。
Objective To explore a new method of preventing tubal stump pregnancy in vitro fertilization and embryo transfer (IVF-ET) and the clinical value of tubal embolization. Materials and Methods Fifteen patients with residual tubal disease, four patients with bilateral tubal resection, and 11 patients with unilateral resection were enrolled. A total of 19 tubal stumps were measured. Hysterosalpingography showed a residual tubal length of 10-36 mm with an average of 16.8 mm. Fifteen patients underwent tubal embolization. IVF-ET was performed to observe and record the clinical pregnancy rate and ectopic pregnancy rate. Results 15 patients with bilateral tubal tubal coil coil embolization, the effect is significant. Postoperative IVF-ET, clinical pregnancy rate was 60% (9/15), tubal pregnancy rate was 0. Conclusions It is a simple, safe, economical and effective new method for tubal stump ectopic pregnancy to treat tubal stump before tubal embolization applied to IVF-ET.