en پیامد درمان آنتی‌بیوتیکی و اثربخشی درناژ ترانس واژینال تحت هدایت اولتراسوند در درمان آبسه‌های لوله‌ای تخمدان: سه گزارش مورد Reproductive Psycology Case Report Case Report <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:"> برای معرفی روش&shy;های کم&shy;تهاجمی برای درمان موفقیت&shy;آمیز آبسه&shy;های لوله تخمدانی (</span></span><span dir="LTR" style="font-size:10.0pt">TOAs</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">)، استفاده از رژیم آنتی&shy;بیوتیکی به عنوان اولین خط درمان در نظر گرفته شد. با این حال، در برخی موارد این روش با شکست مواجه می&shy;شود و مداخله دیگری (لاپاراتومی یا درناژ) مورد نیاز است.</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:">مورد:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> سه زن با سابقه ناباروری طولانی مدت، همگی کاندید لقاح آزمایشگاهی بودند که با تظاهرات مشابه به بخش زنان و زایمان مراجعه کرده بودند. در&nbsp; دو مورد آخرین مرحله درمان درناژ هدایت سونوگرافی ترانس واژینال و در یک مورد در ابتدا لاپاراتومی پس از شکست رژیم آنتی&shy;بیوتیکی انجام شد، اما در هر&nbsp;&nbsp;&nbsp; &nbsp;سه مورد بهترین نتیجه در درناژ هدایت سونوگرافی ترانس واژینال مشاهده 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:">نتیجه&shy; گیری:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> بیمارانی که اندومتریومای تخمدان دارند و تحت سیکل </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:">قرار می&shy;گیرند و همچنین </span></span><span dir="LTR" style="font-size:10.0pt">OPU</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> احتمال بروز </span></span><span dir="LTR" style="font-size:10.0pt">TOA</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> را در آنها افزایش می</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">دهد، استفاده از روش درناژ هدایت سونوگرافی ترانس واژینال برای درمان </span></span><span dir="LTR" style="font-size:10.0pt">TOA</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> در موارد انتخابی، علاوه بر آنتی&shy;بیوتیک&shy;های وسیع الطیف در بیماران ممکن است نیاز آنها به درمان تهاجمی با لاپاراتومی کاهش دهد.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><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="">To introduce minimally invasive methods for the successful treatment of tubo-ovarian abscesses (TOAs), an antibiotic regimen was considered the first line of treatment. However, in some cases, this approach fails, and another intervention (laparotomy or minimally guidance drainage) is required.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Case Presentations:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> 3 women with a history of long-time infertility, all of them were candidates for in vitro fertilization referred to the obstetrics and gynecology department with similar manifestations. For these 3 cases (30-40 yr) the first approach was a broad-spectrum antibiotic therapy. In 2 cases the last step in treatment was transvaginal ultrasound guidance drainage, and in one case laparotomy was done after antibiotic regimen failure; however, in all of 3 cases the best results were seen in transvaginal ultrasound guidance drainage.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></b><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Patients who have ovarian endometrioma and undergo an </span></span><em><span style="font-size:12.0pt">assisted reproductive technology</span></em><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> cycle, as well as ovum pick up, increase the possibility of TOA occurrence in them. The use of transvaginal ultrasound guidance drainage approach for the treatment of TOA in selective cases, in addition to broad-spectrum antibiotics in patients might reduce their need for invasive treatment with laparotomy. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></div> <br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span lang="FA" dir="RTL" style="color:red"></span></span></span></span></span></span> آبسه, تخمدان, درناژ, سونوگرافی, اندومتریوما. Abscess, Ovarian, Drainage, Ultrasonography, Endometrioma. 927 934 http://ijrm.ir/browse.php?a_code=A-10-2771-1&slc_lang=en&sid=1 Zahra Heidar Dr_zheidar@yahoo.com 0000-0002-6851-7220 No Clinical Research Developement Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tayebeh Esfidani esfidani.tayebeh@gmail.com 0000-0001-7790-572X No Clinical Research Developement Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Atefeh Moridi moridi59@gmail.com 0000-0002-7791-4439 No Clinical Research Developement Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mahtab Anvari drmahtab90@gmail.com 0009-0007-7242-3087 Yes Clinical Research Developement Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.