目的探讨体外受精-胚胎移植rnrn( in vitro fertilization - embryo transfer, IVF - ET)rnrn前切除积水的输卵rnrn管的意义。方法回顾性分析因输卵管积水导致不孕而要求接受IVF-ET的32例患者，其中17例病人在rnIVF-ET切除了积水的输卵管，共接受IVF-ET 27个周期，为观察组；有15例病人未切除积水输卵管，共接rn受IVF-ET 26个周期，为对照组。比较两组病人卵巢对超排卵的反应、受精率、卵裂率、累计胚胎评分(cumularntive embryo score，CES)、胚胎种植率、临床妊娠率。结果观察组受精率、卵裂率、胚胎种植率、临床妊娠率分别rn为76.9％、75.0％、11.6％、33.9％，均显著地高于对照组的69.2％、66.7％、2.3％、7.7％，P＜0.05；观察组CESrn为(43.4±11.2)，非常显著地高于对照组(36.6±13.1)，P＜0.01；观察组和对照组的获卵数分别为(13.1±9.7)rn个和(12.9±8.2)个，无显著差异。结论 IVF-ET前切除积水的输卵管可改善IVF-ET的结局，并且不影响rn卵巢对超排卵的反应。%Objective To assess the value of removal of hydrosalpinx by salpingectomy before IVF- ET. Methods rn32 patients with hydrosalpinx were divided into two groups. In study group, 17 with hydrosalpinx were performed salprningectomy before IVF-ET,and they received 27 IVF-ET cycles. 15 patients in control group with unremoved hydrosrnalpinx received 26 cycles. Ovary response to superovulation, fertilizatoin rate, cleavage rate, cumulative embryo score rn(CES), implantation rate and clinical pregnancy rate of the two groups were compared. Results Fertilization rate, cleavrnage rate, implantation rate and clinical pregnancy rate in study group were 76.9 %, 75.0 %, 11.6 % and 33.9 %, respecrntively. All of them were higher than those in control group(P＜0.05) ,which were 69.2% ,66.7% ,2.3% and 7.7%, rnrespectively. The CES of study group (43.4 ± 11.2 ) was higher than that of control group (36.6 + 13.1 ) ( P ＜ 0.01 ). rnThe ovary response to superovulation of these two groups showed no significance. Conclusion Removal of hydrosalpinx rnby salpingectomy before IVF - ET can improve the result and shows no effects on the ovary response to superovulation.
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