Ovarian Response, Pregnancy Outcomes, and Complications Between Salpingectomy and Proximal Tubal Occlusion in Hydrosalpinx Patients Before in vitro Fertilization: A Meta-Analysis

被引:4
作者
Ou, Hua [1 ]
Sun, Jie [2 ]
Lin, Lin [3 ]
Ma, Xiao [1 ]
机构
[1] China Japan Friendship Hosp, Med Examinat Ctr, Beijing, Peoples R China
[2] China Japan Friendship Hosp, Dept Gynecol & Obstet, Beijing, Peoples R China
[3] Maternal & Child Hlth Hosp Guangxi Zhuang Autonomo, Dept Gynecol & Obstet, Nanning, Peoples R China
来源
FRONTIERS IN SURGERY | 2022年 / 9卷
关键词
hydrosalpinx before in vitro fertilization; salpingectomy and proximal tubal occlusion; ovarian response; pregnancy outcomes; complication; EMBRYO-TRANSFER; IVF; MANAGEMENT; RESERVE;
D O I
10.3389/fsurg.2022.830612
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives: Contradictory findings exist in studies comparing salpingectomy and proximal tubal occlusion (PTO) in treating hydrosalpinx patients before in vitro fertilization (IVF). Therefore, this meta-analysis aimed to comprehensively compare ovarian response, pregnancy outcomes, and complications between salpingectomy and PTO in treating these patients. Methods: Embase, PubMed, and Web of Science were searched to identify relevant articles published from 1980 to August 31, 2020. Eight studies that involve 716 hydrosalpinx patients before IVF were included, among whom 408 patients received salpingectomy and 308 patients received PTO. The data were pooled; the standardized mean difference (SMD) or odds ratio (OR) was calculated. Results: Proximal tubal occlusion-treated patients had higher fertilization rate (SMD = 0.35, 95% CI: 0.11-0.59), while similar days of controlled ovarian hyperstimulation (COH) (SMD: 0.15, 95% CI: -0.36-0.67) and number of retrieved oocytes (SMD = -0.22, 95% CI: -0.54-0.10) compared with salpingectomy-treated patients. Furthermore, no difference of implantation rate (OR = 1.17, 95% CI: 0.62-2.20), clinical pregnancy rate (OR = 0.82, 95% CI: 0.59-1.15), ongoing pregnancy rate (OR = 0.64, 95% CI: 0.36-1.13), or live birth rate (OR = 0.67, 95% CI: 0.16-2.72) was shown between salpingectomy-treated patients and PTO-treated patients. Additionally, ectopic pregnancy rate (OR = 1.13, 95% CI: 0.21-5.92) and miscarriage rate (OR = 0.88, 95% CI: 0.31-2.48) were similar between salpingectomy-treated patients and PTO-treated patients. Conclusion: Proximal tubal occlusion exhibits a higher fertilization rate but no obvious benefits on days of COH, number of retrieved oocytes, pregnancy outcomes, and complications over salpingectomy in hydrosalpinx patients before IVF.
引用
收藏
页数:10
相关论文
共 42 条
  • [41] Clinical outcomes in relation to the daily dose of recombinant follicle-stimulating hormone for ovarian stimulation in in vitro fertilization in presumed normal responders younger than 39 years: a meta-analysis
    Sterrenburg, M. D.
    Veltman-Verhulst, S. M.
    Eijkemans, M. J. C.
    Hughes, E. G.
    Macklon, N. S.
    Broekmans, F. J.
    Fauser, B. C. J. M.
    HUMAN REPRODUCTION UPDATE, 2011, 17 (02) : 184 - 196
  • [42] Association between weight loss and outcomes in patients undergoing atrial fibrillation ablation: a systematic review and dose-response meta-analysis
    Zhao, Huilei
    Li, Xiaozhong
    Yu, Peng
    Liu, Menglu
    Ma, Jianyong
    Wang, Jingfeng
    Zhu, Wengen
    Liu, Xiao
    NUTRITION & METABOLISM, 2023, 20 (01)