胚胎植入之比較

以超音波監控胚胎植入vs. 不用超音波監控胚胎植入

超音波監控植入: 距fundus 1-1.5 cm, ET內管深入6.5cm
不用超音波監控植入: 內管深入6cm

結果: 懷孕率並無差異
http://humrep.oxfordjournals.org/content/22/5/1327.full

Ultrasound-guided embryo transfer does not offer any benefit in clinical outcome: a randomized controlled trial

1. I.P. Kosmas1, 
2. R. Janssens, 
3. L. De Munck, 
4. H. Al Turki, 
5. J. Van der Elst,
6. H. Tournaye and 
7. P. Devroey

+Author Affiliations

1. Centre for Reproductive Medicine, Dutch-Speaking Brussels Free University, Brussels, Belgium

1. 1To whom correspondence should be addressed at: Centre for Reproductive Medicine, Dutch-Speaking Brussels Free University, Brussels, Belgium. E-mail:kosmasioannis@gmail.com

• Received August 10, 2006.
• Revision received November 7, 2006.
• Revision requested December 17, 2006.
• Accepted January 2, 2007.

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Abstract

BACKGROUND Ultrasound-guided embryo transfer (ET) is widely suggested as a standard clinical practice that improves overall embryo implantation and pregnancy rates. Various studies of this issue suffer from methodological pitfalls, so that a randomized controlled trial, which overcomes these problems, might be valuable.

METHODS Three hundred women aged <40, who underwent fresh ET, were included in this randomized, double-blind controlled trial. The K-J-SPPE echo tip soft catheter was used for the ultrasound-guided ET and the traditional K-Soft catheter for ETs not using ultrasound. One experienced operator performed all ETs. The primary study outcome was overall pregnancy rate (defined as the number of positive hCG results per transfer).

RESULTS No significant differences between groups were found regarding baseline patient and embryological characteristics, except for male factor and unexplained infertility (higher in the blind and ultrasound-guided ET group, repectively, P < 0.05). Overall pregnancy rates were 53.3 and 51.3% in the ultrasound-guided and blind ET group, respectively. Two ectopic pregnancies were reported in each group. Difficulty in cervical negotiation did not differ between the two groups.

CONCLUSIONS In patients undergoing ET by an experienced operator, ultrasound guidance did not provide any benefit in terms of overall clinical pregnancy and embryo implantation rates.