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Abstract:
STUDY OBJECTIVE:To evaluate in vitro fertilization (IVF) outcomes of proximal fallopian tube embolization by interventional radiology compared with laparoscopic salpingectomy before embryo transfer (ET) in patients with hydrosalpinx. DESIGN:A single-center, off-label, nonrandomized prospective study. SETTING:Academic university hospital. PATIENTS:One hundred fifty-five patients with hydrosalpinx were identified on ultrasound or hysterosalpingography desiring IVF between April 2016 and December 2017. INTERVENTIONS:Radiologically guided tubal occlusion with embolization microcoils (RTO-EM) and laparoscopic salpingectomy. MEASUREMENTS AND MAIN RESULTS:Of the 155 analyzed patients, 42 were treated with RTO-EM and 113 with laparoscopic salpingectomy. The subsequent IVF outcomes, including implantation, clinical pregnancy, miscarriage, ectopic pregnancy, and ongoing pregnancy (i.e., a fetal heartbeat on ultrasound beyond 10 weeks) were compared between the 2 groups. Implantation and clinical pregnancy per ET cycle in the RTO-EM group were similar to that of the salpingectomy group (26.7% vs 30.2% [p = .51] and 39.0% vs 45.3% [p = .40], respectively), with a similar miscarriage rate. There was no statistically significant difference in ectopic pregnancies between the 2 groups. Moreover, no difference was detected in ongoing pregnancy per cycle between the 2 groups (33.9% vs 41.2%; p = .32). The ongoing-pregnancy rate per patient following RTO-EM was 47.6% (20 of 42) compared with 61.9% (70 of 113) following salpingectomy (odds ratio, 0.56; 95% confidence interval, 0.27-1.14; p = .11). CONCLUSION:Pregnancy in the RTO-EM group was comparable to the salpingectomy group in patients with hydrosalpinx before ET treatment. RTO-EMs may be an alternative to salpingectomy for patients with hydrosalpinx planning for IVF-ET.
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最新影响因子:4.314 | 期刊ISSN:1553-4650 | CiteScore:2.11 |
出版周期:Bimonthly | 是否OA:YES | 出版年份:2005 |
期刊官方网址:http://www.jmig.org/
自引率:12.50% | 研究方向:医学-妇产科学 |
出版地区:UNITED STATES |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Published by Elsevier Science. ISSN: 1553-4650. The Journal of Minimally Invasive Gynecology is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field. Formerly known as The Journal of the American Association of Gynecologic Laparoscopists (1074-3804).
由爱思唯尔科学出版。国际标准书号:1553-4650。 《微创妇科杂志》是一个国际临床论坛,旨在交流和传播与妇科内窥镜和其他微创手术相关的思想、发现和技术。该杂志提供了妇科手术领域最聪明的人的研究、临床意见和病例报告,是权威的消息来源,向执业医师通报这一新兴领域的最新前沿发展。以前被称为美国妇科腹腔镜医师协会杂志(1074-3804)。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
OBSTETRICS & GYNECOLOGY (妇产科学) 2区 |
13/82 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
164 | 136 | 28 |
引文计数(2018)
文献(2015-2017)
1568次引用
744篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Obstetrics and Gynecology
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研究方向:妇科
审稿时间: 2个月内 接受率: 比较困难(25%命中)
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研究方向:妇科
审稿时间: 2个月内 接受率: 比较困难(25%命中)
liting7111
研究方向:妇产科
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研究方向:妇产科
影响因子:13.029
ISSN:1522-8517
研究方向:医学-临床神经学
影响因子:4.506
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研究方向:医学-临床神经学
影响因子:7.723
ISSN:2162-402X
研究方向:ONCOLOGYIMMUNOLOGY-IMMUNOLOGY
影响因子:4.912
ISSN:1524-9557
研究方向:医学-免疫学
影响因子:12.02
ISSN:2326-6066
研究方向:ONCOLOGY-IMMUNOLOGY
影响因子:3.698
ISSN:1750-9378
研究方向:ONCOLOGY-IMMUNOLOGY
影响因子:6.63
ISSN:0340-7004
研究方向:医学-免疫学
影响因子:3.077
ISSN:1534-7354
研究方向:医学-全科医学与补充医学
影响因子:0
ISSN:1868-8497
研究方向:ONCOLOGY-ENDOCRINOLOGY & METABOLISM
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Journal of Minimally Invasive Gynecology 投稿经验
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