International Journal of Reproductive BioMedicine
International Journal of Reproductive BioMedicine
IJRM
Medical Sciences
http://ijrm.ir
1
admin
2476-4108
2476-3772
10.29252/ijrm
en
jalali
1400
12
1
gregorian
2022
3
1
20
3
online
1
fulltext
en
بررسی مقایسه ای سونوگرافی ترانس واژینال و سونوگرافی ترانس ابدومینال بر پیامدهای انتقال جنین در بیمارستان مهدیه تهران در سال 1399: یک کارآزمایی بالینی تصادفی
A comparative study of transabdominal and transvaginal ultrasound guidance on consequences of embryo transfer at Mahdiyeh hospital of Tehran in 2020: An RCT
Reproductive Biology
Original Article
Original Article
<div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">ناباروری مشکل مهمی است که بسیاری از زوج­ها را در سراسر جهان تحت تأثیر قرار می­دهد. فناوری کمک باروری به زوج­های نابارور کمک می­کند تا فرزندی داشته باشند. یکی از عوامل موفقیت بارداری در روش انتقال جنین به رحم مادر، انجام صحیح انتقال جنین به درون رحم می­باشد. </span></span><b><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></b></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">این مطالعه با هدف مقایسه پیامد­های حاصل از انتقال جنین با گاید سونو به دو روش ترانس واژینال و ترانس ابدومینال انجام شد.</span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش­ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">در این کارآزمایی بالینی 90 زن کاندید </span></span><span dir="LTR" style="font-size:10.0pt">IVF</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">که در سال 1399 به بیمارستان مهدیه مراجعه کرده بودند به صورت تصادفی به دو گروه سونوگرافی ترانس واژینال و سونوگرافی ترانس ابدومینال در زمان انتقال جنین تقسیم شدند (45 زن در هر گروه). جنین­ها 3-2 روز پس از تخمک</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">­</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">کشی انتقال داده شد. میزان درد بیمار، سختی و مدت زمان انجام پروسیجر، کیفیت دید سه بعدی و میزان موفقیت بارداری در بین دو گروه اندازه­گیری شد. </span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">در این مطالعه، 2/63% از زنان تحت انتقال جنین با سونوگرافی ترانس­واژینال و 8/36% از زنان تحت انتقال جنین با سونوگرافی ترانس­ابدومینال بارداری موفقی داشتند که از نظر آماری تفاوت معناداری نداشت (19/0 </span></span><span lang="FA" style="font-size:10.0pt">=</span><span dir="LTR" style="font-size:10.0pt">p </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">). تفاوت معناداری بین دو گروه مورد مطالعه از نظر میزان درد (53/0 </span></span><span lang="FA" style="font-size:10.0pt">=</span><span dir="LTR" style="font-size:10.0pt">p </span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">)، زمان پروسیجر (50/0 </span></span><span lang="FA" style="font-size:10.0pt">≤ </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">)، سختی پروسیجر (50/0</span></span><span lang="FA" style="font-size:10.0pt"> ≤ </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) و دید سووگرافی وجود نداشت. هرچند کیفیت دید سه بعدی در سونوگرافی ترانس واژینال بهتر از سونوگرافی ترانس­ابدومینال بود (01/0 </span></span><span lang="FA" style="font-size:10.0pt">> </span><span dir="LTR" style="font-size:10.0pt">p</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">). </span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه ­گیری:</span></span></b> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">به طور کلی، نتایج </span></span><span dir="LTR" style="font-size:10.0pt">ART</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، در هر دو نوع سنوگرافی یکسان بود. بنابراین پیشنهاد می­شود، پزشکان پیش از انتخاب نوع سونوگرافی وضعیت بیمار و تجهیزات و توانایی بیمارستان را مدنظر قرار دهند. </span></span></span></span></span></span></span><br>
</div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Arial,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Infertility is an important problem that affects many couples worldwide. Assisted reproductive technology (ART) helps infertile couples to have offspring. One of the critical parts of ART is embryo transfer (ET).</span></span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Arial,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Objective: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">To compare the effect of transvaginal and transabdominal ultrasonography-guided ET on ART outcomes.</span></span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Arial,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">In this randomized clinical trial study, 90 women who were candidates for in vitro fertilization (IVF) referred to Mahdiyeh hospital of Tehran, Iran during the year 2020 were randomly divided into two groups (n = 45/each) of transvaginal and transabdominal ultrasonography-guided ET. The embryos were transferred two</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">-</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">three days after oocyte retrieval. The patient pain, duration and difficulty of the procedure, three-dimensional vision quality and successful pregnancy rate were measured.</span></span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Arial,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In this study, 63.2% of the 45 women who underwent IVF under the guidance of the transvaginal guidance and 36.8% of the 45 women who underwent IVF under the transabdominal guidance had a successful pregnancy, that was not significantly different (p = 0.19). Also, based on other results there was no difference between the two groups in terms of patient pain (p = 0.53), duration (p ≥ 0.5) and difficulty of procedures (p ≥ 0.5) and ultrasonography vision; however, the three-dimensional vision quality in the transvaginal ultrasonography was better than that in the transabdominal ultrasonography (p = 0.005).</span></span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Arial,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Overall, the ART outcomes in the transvaginal and transabdominal ultrasonography-guided ET were similar, so we suggest that physicians evaluate the patient’s situation, the hospital equipment, and their ability before selecting the type of ultrasonography.</span></span><span style="font-family:"Times New Roman","serif""></span></span></span></span></div>
ترانس واژینال, ترانس ابدومینال, سونوگرافی, انتقال جنین, زایمان.
Transvaginal, Transabdominal, Ultrasound, Embryo transfer, Pregnancy.
169
176
http://ijrm.ir/browse.php?a_code=A-10-1598-1&slc_lang=en&sid=1
Paria
Geran Malekkheili
pgeranmalek@gmail.com