期刊论文

中文

中华临床医师杂志(电子版)

1674-0785

2011

5

11

3224-3228

10.3877/cma.j.issn.1674-0785.2011.11.023

湖南省衡阳市2009年度社会发展科技支撑计划项目（2009KS42）；

本校为第一机构

目的 系统评价输卵管手术对输卵管性不孕患者体外受精结局的影响.方法 收集国内外发表的关于输卵管性不孕体外受精前手术治疗和对照组对比的随机对照试验研究文献,提取数据进行Meta分析,统计学分析采用RevMan 4.2软件.结果 符合纳入标准的文献有4篇,共410例患者.Meta分析结果显示,输卵管性不孕患者体外受精前行腹腔镜下输卵管切除后妊娠率、活产率提高(P0.05).结论 输卵管性不孕患者行腹腔镜下输卵管切除能提高体外受精的成功率.因本次系统评价纳入文献少、样本含量偏小,尚需要更多设计严谨的大样本随机对照研究来增加证据的论证强度.

Objective To assess the value of surgical treatment for tubal disease prior to in vitro fertilisation(IVF).Methods Published comparative studies on comparing a surgical treatment for tubal disease with a control group generated by randomization were retrieved and pooled the data from eligible studies (Meta analysis).Statistical analysis were performed with Ravman 4.2.Results Four randomised controlled trials,involving 410 patients were included in this review.The odds of pregnancy and live birth were increased with laparoscopic salpingectomy for hydrosalpinges prior to IVF(P0.05).Conclusions L...