Intrasitoplazmik Sperm Enjeksiyonu Sikluslarında Embriyo Transferinin Abdominal Ultrasonografi Kılavuzluğunda veya Ultrasonografi Kullanılmadan Yapılmasının Klinik Sonuçlarının Değerlendirilmesi

Abstract

Yardımlı üreme yöntemlerinde ovaryan stimülasyon ve embriyo kültüründeki büyük ilerlemelere rağmen embriyo transfer (ET) tekniklerindeki ilerlemeler sınırlı kalmıştır veoptimal ET tekniği konusunda fikir birliği bulunmamaktadır. Retrospektif olarak yürüttüğümüz çalışmamızda ET sırasında abdominal ultrasonografi kullanılmasının, ultrasonografi kullanılmadan klinik dokunma yöntemi ile ET yapılan olguların implantasyon ve klinik gebelik oranlarının karşılaştırılması hedeflenmiştir. Beşinci günde iyi kalitede tek embriyo transferleri transabdominal ultrasonografi ile (grup 1, n=47) ve klinik dokunma yöntemi ile yapılan (grup 2, n=46) hastaların implantasyon ve klinik gebelik oranları karşılaştırıldı. Sonuçta gruplar arasında implantasyon oranları için anlamlı farklılık izlenmedi (sırası ile grup 1 de %42.6 ve grup 2 de  %34.8, p=0,44). Klinik gebelik oranları sırası ile grup 1 de %36.2 ve grup 2 de %26.1 idi (p=0,29). Transfer sonrası transvajinal ultrasonografi ile kontrol edilen hava kabarcığının fundusa olan mesafeleri karşılaştırıldığında; iki grup arasında anlamlı fark gözlenmedi grup 1 ve 2 de sırasıyla; 13,4 ± 4,23 ve 14,4 ± 3,91 (p=0,25).

Keywords

• Intrasitoplazmik sperm enjeksiyonu,embriyo transferi tekniği,transabdominal ultrasonografi,implantasyon

Evaluation of The Clinical Outcomes of Embryo Transfer in Intracytoplasmic Sperm Injection Cycles with Guidance of Abdominal Ultrasonography or without Using Ultrasonography

Abstract

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