关键词: antibiotic treatment chronic endometritis infertility live birth rate miscarriage rate

来  源:   DOI:10.3389/fmed.2022.980511   PDF(Pubmed)

Abstract:
UNASSIGNED: The aim of this study was to investigate the effect of antibiotic treatment for chronic endometritis (CE) on reproductive outcomes.
UNASSIGNED: Systematic review and meta-analysis.
UNASSIGNED: Women with reproductive failures, including recurrent implantation failure (RIF), and recurrent pregnancy loss (RPL).
UNASSIGNED: Literature searches were performed using three electronic databases (PubMed, Embase, and Web of Science) until 1 December 2021 (without date restriction). The following comparators were included: women with CE receiving antibiotics vs. untreated controls; women with cured CE vs. women with normal endometrial histology (negative for CE); and women with cured CE vs. women with persistent CE (PCE). The summary measures were indicated as odds ratio (OR) with a 95% confidence interval (CI).
UNASSIGNED: These include on-going pregnancy rate/live birth rate (OPR/LBR), clinical pregnancy rate (CPR), and miscarriage rate/pregnancy loss rate (MR/PLR).
UNASSIGNED: A total of 2,154 women (from twelve studies) were enrolled. Compared with the control group, women with CE receiving antibiotics did not show a statistically significant difference in OPR/LBR (P = 0.09) and CPR (P = 0.36), although there was a lower MR (P = 0.03). Women with cured CE have higher OPR/LBR (OR 1.57) and CPR (OR 1.56) in comparison with those with non-CE. There was a statistically significantly higher OPR/LBR (OR 6.82, P < 0.00001) and CPR (OR 9.75, P < 0.00001) in women with cured CE vs. those with persistent CE.
UNASSIGNED: While antibiotic treatment is a sensible option to cure CE, more well-designed prospective studies are needed to evaluate the reproductive impact of antibiotic treatment. Cured CE provides high-quality maternal conditions for subsequent embryo transfer and successful pregnancy.
摘要:
未经授权:本研究的目的是研究抗生素治疗慢性子宫内膜炎(CE)对生殖结局的影响。
未经评估:系统评价和荟萃分析。
未经批准:有生殖障碍的妇女,包括复发性植入失败(RIF),和复发性妊娠丢失(RPL)。
UNASSIGNED:使用三个电子数据库(PubMed,Embase,和WebofScience)至2021年12月1日(无日期限制)。包括以下比较:接受抗生素治疗的CE女性与未经治疗的对照;CE治愈的女性与子宫内膜组织学正常的女性(CE阴性);治愈的女性与女性持续性CE(PCE)。汇总指标表示为比值比(OR),置信区间为95%(CI)。
未经评估:这些包括持续怀孕率/活产率(OPR/LBR),临床妊娠率(CPR),和流产率/妊娠损失率(MR/PLR)。
UNASSIGNED:共有2,154名妇女(来自12项研究)入组。与对照组相比,接受抗生素治疗的女性在OPR/LBR(P=0.09)和CPR(P=0.36)方面没有统计学上的显着差异,尽管MR较低(P=0.03)。与非CE患者相比,治愈CE的女性具有更高的OPR/LBR(OR1.57)和CPR(OR1.56)。治愈CE的女性与女性相比,OPR/LBR(OR6.82,P<0.00001)和CPR(OR9.75,P<0.00001)在统计学上明显更高。那些具有持久性的CE。
未经批准:虽然抗生素治疗是治愈CE的明智选择,需要更精心设计的前瞻性研究来评估抗生素治疗对生殖的影响.治愈的CE为随后的胚胎移植和成功怀孕提供了高质量的母体条件。
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