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三分之一的试管婴儿诊所提供子宫内膜刮擦服务

游海 2021-12-28 11:04 试管之家 查看: 59 评论: 0

摘要:   根据最新调查,目前英国、澳大利亚和新西兰34%的试管婴儿诊所提供子宫内膜刮擦服务。  该程序是作为标准试管婴儿治疗的附加程序进行的,涉及使用导管有意划伤子宫内膜以引起炎症反应。澳大利亚墨尔本莫纳什大 ...
  根据最新调查,目前英国、澳大利亚和新西兰34%的试管婴儿诊所提供子宫内膜刮擦服务。

  该程序是作为标准试管婴儿治疗的附加程序进行的,涉及使用导管有意划伤子宫内膜以引起炎症反应。澳大利亚墨尔本莫纳什大学的研究人员匿名询问了121位生育专家、胚胎学家和生育护士,他们的诊所是否进行了该手术,以及他们是否认为这样做有益。他们的结果发表在Human Fertility上,发现不到10%的人认为它可以改善怀孕结果,但有34%的诊所提供它。

  由于子宫内膜刮擦的工作原理以及它是否会增加活产机会的不确定性,该主题引起了大量争论。来自澳大利亚墨尔本大学的Sarah Lensen博士和该研究的一位作者告诉Inverse,“我们没有充分的证据表明子宫内膜刮擦有助于人们通过试管婴儿获得婴儿,这是一个痛苦的过程,与患者的费用也是如此”。

  在同一项调查中,29%的生育专家认为,子宫内膜刮擦可能对特别因反复植入失败而苦苦挣扎的女性有利。Lensen博士意识到这可能会推动在诊所继续使用子宫内膜刮擦术。

  在被问及的人中,55%的人认为抓挠子宫内膜可以减轻心理困扰。Lensen博士的理解是,“这些额外的治疗有助于保持希望,并帮助患者在非常不确定的时期内更有控制感”。

  在过去五年中,对该程序的态度发生了变化;Lensen博士之前在2016年发表在《人类生殖》杂志上的一项研究发现,生育领域83%的专业人士建议进行子宫内膜刮擦。后续调查的分析表明,51%以前提供子宫内膜刮擦的诊所不再提供。

  Lensen博士认为,这种差异可归因于更多高质量的研究发表。该团队对提供子宫内膜刮擦的诊所数量下降感到鼓舞,这证明提供者正在倾听研究并采取行动将患者的健康考虑在内。

  在全球范围内,有4800万对夫妇受到不孕症的影响。随着子宫内膜刮擦等附加项目变得越来越流行,澳大利亚团队将继续他们的研究,旨在为患者提供资源,帮助他们就自己的护理做出明智的决定。

以下原文:
  Endometrial scratching offered by 1/3 of IVF clinics

  Endometrial scratching is currently being offered by 34 percent of IVF clinics in the UK,Australia,and New Zealand,according to a latest survey.

  The procedure is performed as an add-on to standard IVF treatments and involves the use of a catheter to intentionally scratch the endometrium to cause an inflammatory response.Researchers at Monash University in Melbourne,Australia,anonymously asked 121 fertility specialists,embryologists,and fertility nurses whether their clinic performed the procedure and whether they thought it was beneficial.Their results,published in Human Fertility,found that less than 10 percent believed it improved pregnancy outcomes but that it was being offered by 34 percent of clinics.

  The topic has attracted a great deal of debate due to uncertainty regarding how endometrial scratching works and whether it increases the chances of live birth.Dr Sarah Lensen from the University of Melbourne,Australia,and one of the authors of the study told Inverse,'We don't have good evidence that endometrial scratching helps people to have a baby from IVF,and it's a painful procedure associated with a cost for the patient too'.

  In the same survey,29 percent of fertility specialists believed that endometrial scratching could be advantageous in women struggling specifically with recurrent implantation failure.Dr Lensen appreciates that this might be driving the continued use of endometrial scratching in clinics.

  Of those asked,55 percent believe that endometrial scratching offers a reduction in psychological distress.Dr Lensen's understanding is that'these extra treatments help to keep the hope alive and help patients to feel more in control in a very uncertain time'.

  Attitudes towards the procedure have shifted over the last five years;a previous study by Dr Lensen,published in Human Reproduction in 2016,found that 83 percent of professionals within the fertility sector recommended endometrial scratching.Analysis from the follow-up survey showed that 51 percent of clinics that previously offered endometrial scratching,no longer do.

  Dr Lensen believes the disparity can be attributed to a greater number of high-quality studies being published.The team are encouraged by the decline in the number of clinics offering endometrial scratching,proving that providers are listening to the research and acting to take patient's wellbeing into account.

  Globally,48 million couples are affected by infertility.With add-ons,such as endometrial scratching,becoming increasingly popular,the Australian team will continue their research with an aim to provide resources to patients to aid them in making informed decisions about their care.

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