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Эффективность альтернативных методов лечения бесплодия маточного генеза
Оразов М.Р., Краснопольская К.В., Силантьева Е.С. и др. Эффективность альтернативных методов лечения бесплодия маточного генеза. Гинекология. 2021; 23 (1): 92–96. DOI: 10.26442/20795696.2021.1.200672
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Orazov M.R., Krasnopol'skaia K.V., Silant'eva E.S., et al. The efficacy of alternative treatment tactics for uterine infertility. Gynecology. 2021; 23 (1): 92–96. DOI: 10.26442/20795696.2021.1.200672
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Аннотация
Хронический эндометрит ассоциируется с неблагоприятными репродуктивными исходами, такими как имплантационная недостаточность и невынашивание беременности. Высокий процент неэффективного использования вспомогательных репродуктивных технологий при хроническом эндометрите определяет необходимость изучения морфогенеза, своевременной диагностики и патогенетически направленной терапии данного заболевания. В статье представлены современные представления об этиопатогенезе, диагностике, тактике лечения, а также клинический случай ведения пациентки с бесплодием маточного генеза, ассоциированного с повторными неудачами имплантации, по данным отечественной и зарубежной литературы.
Ключевые слова: хронический эндометрит, повторные неудачи имплантации, вспомогательные репродуктивные технологии, экстракорпоральное оплодотворение, бесплодие маточного генеза
Ключевые слова: хронический эндометрит, повторные неудачи имплантации, вспомогательные репродуктивные технологии, экстракорпоральное оплодотворение, бесплодие маточного генеза
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Chronic endometritis is associated with adverse reproductive outcomes such as implantation failure and miscarriage. A high percentage of ineffective use of assisted reproductive technologies in chronic endometritis determines the need to study morphogenesis, timely diagnosis and pathogenetic therapy of this disease. The article presents a modern view of etiopathogenesis, diagnosis, treatment tactics, as well as a clinical case of managing a patient with uterine infertility associated with repeated implantation failures, according to domestic and foreign literature.
Keywords: chronic endometritis, repeated implantation failures, assisted reproductive technologies, in vitro fertilization, uterine infertility
Полный текст
Список литературы
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6. Vitagliano A, Noventa M, Saccone G, et al. Endometrial scratch injury before intrauterine insemination: is it time to re-evaluate its value? Evidence from a systematic review and meta-analysis of randomized controlled trials. Fertil Steril 2018; 109 (1): 84–96.
7. Vitagliano A, Saccardi C, Noventa M, et al. Does endometrial scratching really improve intrauterine insemination outcome? Injury timing can make a huge difference. J Gynecol Obstet Hum Reprod 2018; 47 (1): 33–4.
8. Cozzolino M, Vitagliano A, Di Giovanni MV, et al. Ultrasound-guided embryo transfer: summary of the evidence and new perspectives. A systematic review and meta-analysis. Reprod Biomed Online 2018; 36 (5): 524–42.
9. Alam V, Bernardini L, Gonzales J, et al. A prospective study of echographic endometrial characteristics and pregnancy rates during hormonal replacement cycles. J Assist Reprod Genet 1993; 10: 215–9.
10. Abdalla HI, Brooks AA, Johnson MR, et al. Endometrial thickness: a predictor of implantation in ovum recipients? Hum Reprod 1994; 9: 363–5.
11. Richter KS, Bugge KR, Bromer JG, Levy MJ. Relationship between endometrial thickness and embryo implantation, based on 1294 cycles of in vitro fertilization with transfer of two blastocyst-stage embryos. Fertil Steril 2007; 87: 53–9.
12. Mahajan N. Endometrial receptivity array: Clinical application. J Hum Reprod Sci 2015; 8 (3): 121–9.
13. Зиновьева О.С., Мотовилова Т.М., Качалина Т.С. и др. Исследование пролиферативного потенциала гипопластического эндометрия у пациенток с репродуктивными нарушениями в анамнезе методом флуоресцентной иммуноцитохимии. Мед. альманах. 2017; 6 (51): 84–7 [Zinov'eva O.S., Motovilova T.M., Kachalina T.S., et al. Issledovanie proliferativnogo potentsiala gipoplasticheskogo endometriia u patsientok s reproduktivnymi narusheniiami v anamneze metodom fluorestsentnoi immunotsitokhimii. Med. al'manakh. 2017; 6 (51): 84–7 (in Russian)].
14. Di Speizio Sardo A, Palma F, Calagna G, et al. Chronic Endometritis. Genital Infections and Infertility 2016.
15. Rice AD, Patterson K, Wakefield LB, et al. Ten-year Retrospective Study on the Efficacy of a Manual Physical Therapy to Treat Female Infertility. Altern Ther Health Med 2015; 21 (3): 36–44.
16. Оразов М.Р., Радзинский В.Е., Локшин В.Н. Бесплодный брак. Версии и контраверсии. М.: ГЭОТАР-Медиа, 2019 [Orazov M.R., Radzinsky V.E., Lokshin V.N. Barren marriage. Versions and contraversions. Moscow: GEOTAR-Media, 2019 (in Russian)].
17. Волкова Е.Ю., Корнеева И.Е., Силантьева Е.С., Пономаренко Г.Н. Влияние физиотерапии на имплантационный потенциал «тонкого» эндометрия. Физиотерапевт. 2012; 2: 14–9 [Volkova E.Iu., Korneeva I.E., Silant'eva E.S., Ponomarenko G.N. Vliianie fizioterapii na implantatsionnyi potentsial “tonkogo” endometriia. Fizioterapevt. 2012; 2: 14–9 (in Russian)].
18. Гайворонская О.С. Применение сочетанной низкоинтенсивной лазеротерапии в рамках немедикаментозной подготовки эндометрия в программах вспомогательных репродуктивных технологий. Автореф. дис. … канд. мед. наук. М., 2007 [Gaivoronskaia O.S. Primenenie sochetannoi nizkointensivnoi lazeroterapii v ramkakh nemedikamentoznoi podgotovki endometriia v programmakh vspomogatel'nykh reproduktivnykh tekhnologii. Avtoref. dis. … kand. med. nauk. Moscow, 2007 (in Russian)].
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20. Ипатова М.В., Стругацкий В.М. Опыт применения тока надтональной частоты для обезболивания после гинекологических операций у подростков. Вопр. курортологии. 2000; 6: 32–3 [Ipatova M.V., Strugatskii V.M. Opyt primeneniia toka nadtonal'noi chastoty dlia obezbolivaniia posle ginekologicheskikh operatsii u podrostkov. Vopr. kurortologii. 2000; 6: 32–3 (in Russian)].
21. Shuai Z, Li X, Tang X, et al. Transcutaneous electrical acupuncture point stimulation improves pregnancy outcomes in patients with recurrent implantation failure undergoing in vitro fertilisation and embryo transfer: a prospective, randomised trial. Acupunct Med 2019; 37 (1): 33–9. DOI: 10.1136/acupmed-2017-011483
22. Sun B, Liu Z. Successful pregnancy in a woman with bilateral fallopian tube obstruction and diminished ovarian reserve treated with electroacupuncture: A case report. Medicine (Baltimore) 2019; 98 (38): e17160. DOI: 10.1097/MD.0000000000017160
23. Okhowat J, Murtinger M, Schuff M, et al. Massage therapy improves in vitro fertilization outcome in patients undergoing blastocyst transfer in a cryo-cycle. Altern Ther Health Med 2015; 21 (2): 16–22.
24. Wurn BF, Wurn LJ, King CR, et al. Treating female infertility and improving IVF pregnancy rates with a manual physical therapy technique. Med Gen Med 2004; 6 (2): 51.
25. Петров Ю.А. Современные аспекты лечения хронического эндометрита. Фундам. исследования. 2011; 11–3: 563–5 [Petrov Iu.A. Sovremennye aspekty lecheniia khronicheskogo endometrita. Fundam. issledovaniia. 2011; 11–3: 563–5 (in Russian)].
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39. Liping X. Pelvic inflammatory disease therapeutic apparatus for the observation and nursing of chronic pelvic inflammatory disease. J Minim Invasive Med 2013; 8: 119–21.
40. Xuehua H. Clinical observation of vaginal and abdominal physical therapy on infertility women with gynecologic inflammation. J Shandong Univ Tradit Chin Med 2007; 31: 479–80.
41. Yuling Z, Fengyan X, Suxin H, Suping X. Clinical study of VLH-D therapeutic apparatus for the treatment of chronic pelvic inflammatory disease. J N China Coal Med Coll 2003: 204.
42. Zhengao S, Fang L, Jianwei Z, et al. Effects of combined acupuncture and intracavitary short-wave physiotherapy on endometrial receptivity in IVF-ET. J Reprod Med 2012; 21: 447–50.
43. Hong C, Furong Z. Clinical study of gonococcal or nongonococcal cervicitis incorporated with pelvic inflammation in combined treatment of 42 cases. Chin J Dermatovenere 2002; 16: 252–3.
44. Zhang Q, Zhang B, Yan J, et al. Intracavitary physiotherapy is not inferior to endometrial scratching in patients with recurrent implantation failure. Arch Gynecol Obstet 2014; 291 (1): 173–7. DOI: 10.1007/s00404-014-3382-6
45. Zeyneloglu HB, Onalan G. Remedies for recurrent implantation failure. Semin Reprod Med 2014; 32 (4): 297–305.
46. Barash A, et al. Local injury to the endometrium doubles the incidence of successful pregnancies in patients undergoing in vitro fertilization. Fertil Steril 2003; 79 (6): 1317–22.
47. Gibreel A, et al. Endometrial scratching to improve pregnancy rate in couples with unexplained subfertility: a randomized controlled trial.
J Obstet Gynaecol Res 2013; 39 (3): 680–4.
48. Siristatidis C, et al. Endometrial injury for RIF patients undergoing IVF/ICSI: a prospective nonrandomized controlled trial. Gynecol Endocrinol 2017; 33 (4): 297–300.
49. Simon C, Bellver J. Scratching beneath “The scratching Case”: systematic reviews and meta-analyses, the back door for evidence-based medicine. Hum Reprod 2014; 29 (8): 1618–21.
50. Nastri CO, et al. Endometrial injury in women undergoing assisted reproductive techniques. Cochrane Database Syst Rev 2015; 7: Cd009517.
________________________________________________
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21. Shuai Z, Li X, Tang X, et al. Transcutaneous electrical acupuncture point stimulation improves pregnancy outcomes in patients with recurrent implantation failure undergoing in vitro fertilisation and embryo transfer: a prospective, randomised trial. Acupunct Med 2019; 37 (1): 33–9. DOI: 10.1136/acupmed-2017-011483
22. Sun B, Liu Z. Successful pregnancy in a woman with bilateral fallopian tube obstruction and diminished ovarian reserve treated with electroacupuncture: A case report. Medicine (Baltimore) 2019; 98 (38): e17160. DOI: 10.1097/MD.0000000000017160
23. Okhowat J, Murtinger M, Schuff M, et al. Massage therapy improves in vitro fertilization outcome in patients undergoing blastocyst transfer in a cryo-cycle. Altern Ther Health Med 2015; 21 (2): 16–22.
24. Wurn BF, Wurn LJ, King CR, et al. Treating female infertility and improving IVF pregnancy rates with a manual physical therapy technique. Med Gen Med 2004; 6 (2): 51.
25. Petrov Iu.A. Sovremennye aspekty lecheniia khronicheskogo endometrita. Fundam. issledovaniia. 2011; 11–3: 563–5 (in Russian)
26. Volkova E.Iu. Pregravidarnaia podgotovka zhenshchin s narusheniem reproduktivnoi funktsii i “tonkim” endometriem. Dis. … kand. med. nauk. Moscow, 2014; s. 145 (in Russian)
27. Gaidarova A.Kh., Samarina E.A., Kul'chitskaia D.B., et al. Effektivnost' monoterapevticheskikh metodik s primeneniem fizicheskikh faktorov u patsientok s khronicheskim endometritom. Ros. vestn. akushera-ginekologa. 2015; 2: 80–3 (in Russian)
28. Glukhov E.Iu., Bogdanova A.M., Kozyreva E.N. Ispol'zovanie nizkochastotnogo ul'trazvuka v lechenii patsientok s khronicheskim endometritom, stradaiushchikh razlichnymi formami besplodiia. Ros. vestn. akushera-ginekologa. 2015; 1: 32–7 (in Russian)
29. Kalinina N.M. Chronic endometritis. Diagnostic and therapeutic approaches. Consilium Medicum. 2015; 17 (6): 77–80 (in Russian)
30. Zinov'eva O.S., Motovilova T.M., Kachalina T.S. et al. Vliianie sochetannoi platsentarnoi terapii i infrakrasnogo spektra lazera na gemodinamicheskie narusheniia v gipoplastichnom endometrii. Med. al'manakh. 2018; 6 (57): 4–97 (in Russian)
31. Serebrennikova K.G., Arutyunyan N.A., Alekhin A.I. Diagnostics and clinical criteria of chronic endometritis. Gynecology. 2018; 20 (6): 53–9 (in Russian)
32. Martynov S.A. Vozmozhnosti elektroterapii v podgotovke patsientok s khronicheskim endometritom k programmam VRT. Avtoref. dis. … kand. med. nauk. M., 2005 (in Russian)
33. Ponomarenko G.N., Silantyeva E.S., Kondrina E.F. Physiotherapy in reproductive gynecology. Saint Petersburg: VMA, 2008 (in Russian)
34. Shishkanova O.L. Optimizatsiia taktiki lecheniia khronicheskogo endometrita u patsientok s narusheniem reproduktivnoi funktsii s ispol'zovaniem impul'snoi elektroterapii. Avtoref. dis. ... kand. med. nauk. Moscow, 2008 (in Russian)
35. Bogolyubov V.M., Ponomarenko G.N. General physiotherapy. 3rd ed., trans. and add. Moscow: Medicine, 1999 (in Russian)
36. Silant'eva E.S. Fizicheskie metody strukturno-funktsional'nogo remodelirovaniia endometriia u zhenshchin s narusheniem reproduktivnoi funktsii. Dis. … d-ra med. nauk. Moscow, 2008 (in Russian)
37. Alieva K.U. Optimizatsiia podgotovki endometriia v programme EKO i PE u patsientok s narusheniiami matochnoi gemodinamiki. Avtoref. dis. … kand. med. nauk. Moscow, 2007 (in Russian)
38. Hong X. Clinical study of combined VLH-D pelvic therapeutic and traditional Chinese medicine enema treatment on chronic pelvic inflammatory disease. Mod J Integr Tradit Chin West Med 2006; 15: 1158.
39. Liping X. Pelvic inflammatory disease therapeutic apparatus for the observation and nursing of chronic pelvic inflammatory disease. J Minim Invasive Med 2013; 8: 119–21.
40. Xuehua H. Clinical observation of vaginal and abdominal physical therapy on infertility women with gynecologic inflammation. J Shandong Univ Tradit Chin Med 2007; 31: 479–80.
41. Yuling Z, Fengyan X, Suxin H, Suping X. Clinical study of VLH-D therapeutic apparatus for the treatment of chronic pelvic inflammatory disease. J N China Coal Med Coll 2003: 204.
42. Zhengao S, Fang L, Jianwei Z, et al. Effects of combined acupuncture and intracavitary short-wave physiotherapy on endometrial receptivity in IVF-ET. J Reprod Med 2012; 21: 447–50.
43. Hong C, Furong Z. Clinical study of gonococcal or nongonococcal cervicitis incorporated with pelvic inflammation in combined treatment of 42 cases. Chin J Dermatovenere 2002; 16: 252–3.
44. Zhang Q, Zhang B, Yan J, et al. Intracavitary physiotherapy is not inferior to endometrial scratching in patients with recurrent implantation failure. Arch Gynecol Obstet 2014; 291 (1): 173–7. DOI: 10.1007/s00404-014-3382-6
45. Zeyneloglu HB, Onalan G. Remedies for recurrent implantation failure. Semin Reprod Med 2014; 32 (4): 297–305.
46. Barash A, et al. Local injury to the endometrium doubles the incidence of successful pregnancies in patients undergoing in vitro fertilization. Fertil Steril 2003; 79 (6): 1317–22.
47. Gibreel A, et al. Endometrial scratching to improve pregnancy rate in couples with unexplained subfertility: a randomized controlled trial.
J Obstet Gynaecol Res 2013; 39 (3): 680–4.
48. Siristatidis C, et al. Endometrial injury for RIF patients undergoing IVF/ICSI: a prospective nonrandomized controlled trial. Gynecol Endocrinol 2017; 33 (4): 297–300.
49. Simon C, Bellver J. Scratching beneath “The scratching Case”: systematic reviews and meta-analyses, the back door for evidence-based medicine. Hum Reprod 2014; 29 (8): 1618–21.
50. Nastri CO, et al. Endometrial injury in women undergoing assisted reproductive techniques. Cochrane Database Syst Rev 2015; 7: Cd009517.
Авторы
М.Р. Оразов*1, К.В. Краснопольская2,3, Е.С. Силантьева4, Л.М. Михалева5, Р.Е. Орехов1, Е.В. Лагутина1, П.А. Семенов1
1 ФГАОУ ВО «Российский университет дружбы народов», Москва, Россия;
2 ГБУЗ Московской области «Московский областной научно-исследовательский институт акушерства и гинекологии», Москва, Россия;
3 ООО «ПРИОР КЛИНИКА», Москва, Россия;
4 Клинический госпиталь «Лапино», Лапино, Россия;
5 ФГБНУ «Научно-исследовательский институт морфологии человека», Москва, Россия
*omekan@mail.ru
1 ФГАОУ ВО «Российский университет дружбы народов», Москва, Россия;
2 ГБУЗ Московской области «Московский областной научно-исследовательский институт акушерства и гинекологии», Москва, Россия;
3 ООО «ПРИОР КЛИНИКА», Москва, Россия;
4 Клинический госпиталь «Лапино», Лапино, Россия;
5 ФГБНУ «Научно-исследовательский институт морфологии человека», Москва, Россия
*omekan@mail.ru
________________________________________________
Mekan R. Orazov*1, Kseniia V. Krasnopol'skaia2,3, Elena S. Silant'eva4, Liudmila M. Mikhaleva5, Roman E. Orekhov1, Elena V. Lagutina1, Pavel A. Semenov1
1 People’s Friendship University of Russia, Moscow, Russia;
2 Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow, Russia;
3 PRIOR CLINIC, Moscow, Russia;
4 Lapino Clinical Hospital, Lapino, Russia;
5 Research Institute of Human Morphology, Moscow, Russia
*omekan@mail.ru
Цель портала OmniDoctor – предоставление профессиональной информации врачам, провизорам и фармацевтам.