【摘要】 目的　探讨电视腹腔镜下输卵管配子移植术 (gameteintrafallopiantransfer,GIFT)的临床应用价值。　方法　采用促性腺激素促超排卵 ,上游法处理精液 ,电视腹腔镜下穿刺取卵 ,输卵管插管移植配子。　结果　 19例中妊娠 4例 ,妊娠率2 1 1% ( 4 / 19) ,3例足月分娩 ,1例妊娠流产 ,无严重并发症。 15例未孕者中术后 6月内自然妊娠 5例 ,周期妊娠率 5 6 % ( 5 /89)。　结论　电视腹腔镜下GIFT是一种获得较高妊娠率的辅助生育技术 ,同时治疗了导致不孕的其它盆腔疾患 ,为以后自然受孕创造了条件更多还原

【Abstract】 Objective To investigate the clinical significance of gamete intrafallopian transfer (GIFT) under laparoscope. Methods The gonadotropin was adopted to induce superovulation and the spermatic fluid was managed with the swim-up method. After oviums were dislodged by puncture under laparoscope, gametes were transplanted by intubating the fallopian tube. Results Among a total of 19 patients, 4 were pregnant, the pregnancy rate being 21.1% (4/19). Three women had a delivery at term and 1 had an abortion. No serious complications were seen. Of the 15 unfertilized patients, normal pregnancy was observed within 6 months after surgery in 5 patients, the circle pregnancy rate being 5.6% (5/89). Conclusions GIFT under laparoscope is a practical assisted reproductive technique (ART) that may achieve a relatively high pregnancy rate. Some other pelvic diseases resulting in infertility can be treated simultaneously, which contributes to natural fertilization in the future.更多还原