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目的 :探讨经阴道配子输卵管移植 (TV- GIFT)治疗输卵管阻塞性不孕症的效果。方法 :对 7例 (8个周期 )不孕症患者 ,分别采用超排卵方案 ,在超声下取卵 ,经阴道 -宫颈向输卵管内插管 ,注入配子 (卵细胞和精子 ) ,同时用黄体酮或h CG增强黄体功能。结果 :平均植入卵子数 3个 ,临床妊娠 2例 ,临床妊娠率 2 8.5 7% ,周期妊娠率 2 5 %。结论 :经阴道配子输卵管移植是一种操作简单而有效的助孕技术 ,与经腹腔镜配子输卵管移植相比 ,不需麻醉和腹部切开且价廉。该法亦可用于输卵管远端梗阻 ,管腔形态、功能正常的不孕症患者。
Objective: To investigate the effect of transvaginal gamete tubal transplantation (TV-GIFT) on tubal obstruction infertility. Methods: Seven cases (8 cycles) of infertility patients were ovariectomized by ovulation under ultrasound and intubated through the vagina - cervix to inject gametes (egg and sperm) h CG enhance luteal function. Results: The average number of eggs laid in 3 cases, 2 cases of clinical pregnancy, clinical pregnancy rate was 8.557%, cycle pregnancy rate of 25%. Conclusion: Transvaginal gamete tubal transplantation is a simple and effective assisted pregnancy technique. Compared with laparoscopic gametubular tubal transplantation, anesthesia and abdominal incision are not necessary and cost-effective. The law can also be used for tubal distal obstruction, lumen morphology, function of normal infertility patients.