Live birth rate following oral antibiotic treatment for chronic endometritis in infertile women with repeated implantation failure

Kitaya Kotaro; Matsubayashi Hidehiko; Takaya Yukiko; Nishiyama Rie; Yamaguchi Kohei; Takeuchi Takumi; Ishikawa Tomomoto

摘要

Problem >The aim of this prospective study was to investigate the prevalence of chronic endometritis (CE) in infertile women with a history of repeated implantation failure (RIF) and to determine whether oral antibiotic treatment improves their live birth rate in the following embryo transfer (ET) cycles. </section> <section numbered="no" xml:id="aji12719-sec-0002"> <title type="main">Method of study >Endometrial biopsy samples obtained from infertile women with RIF were subjected to immunohistochemistrical/histopathologic diagnosis of CE. Following antibiotic administration to the RIF/CE group, their histopathologic cure rate, microbial detection rate, and reproductive outcome in the subsequent ET cycles were prospectively studied. </section> <section numbered="no" xml:id="aji12719-sec-0003"> <title type="main">Results > 33.7% of infertile women with RIF were diagnosed with CE. Following the first‐line doxycycline treatment, the histopathologic cure rate in the subsequent endometrial biopsy was 92.3%. Following the second‐line metronidazole/ciprofloxacin treatment, the overall cure rate was 99.1%. The live birth rate in the first ET cycle ( P =.031, RR 1.48, 95% CI 1.03‐2.12) and cumulative three ET cycles ( P =.037, RR 1.39, 95% CI 1.02‐1.90) following antibiotic treatment in the cured RIF/CE group (32.8% and 38.8%, respectively) was significantly higher than in the RIF/non‐CE group (22.1% and 27.9%, respectively). </section> <section numbered="no" xml:id="aji12719-sec-0004"> <title type="main">Conclusion >Chronic endometritis was found in one‐third of infertile women with RIF. The oral antibiotic treatment against CE might be a promising therapeutic option for infertile women with RIF. </section> </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><abstract xmlns =“http://www.wiley.com/namespaces/wiley”type =“main”xml：id =“aji12719-abs-0001”> <sectioneded =“no”xml：id =“aji12719- sec-0001“> <标题类型=”main“>问题</ title> >该前瞻性研究的目的是探讨患有反复植入失败的历史史上慢性子宫内膜炎（CE）的患病率（RIF ）并确定口腔抗生素治疗是否在以下胚胎转移（ET）循环中提高了它们的活产率。</ p> </段> <截面编号=“否”XML：ID =“AJI12719-SEC-0002”> <标题类型=“Main”>研究方法</标题> >从带有RIF的不育妇女获得的子宫内膜活检样品进行免疫组化/组织病理学诊断。在对RIF / CE组的抗生素给药后，前瞻性地研究了它们的组织病理学治愈率，微生物检测率和繁殖结果。</ p> </段> <截面编号=“否”XML：ID = “AJI12719-SEC-0003”> <标题类型=“主要”>结果</标题> > 33.7％的带有RIF的不育妇女被诊断为CE。在第一线糖尿环素处理之后，随后的子宫内膜活检中的组织病理学固化率为92.3％。在二线甲硝唑/环丙沙星处理之后，整体固化率为99.1％。第一个ET循环中的活速率（ p </ i> = .031，RR 1.48,95％CI 1.03-2.12）和累积三个ET循环（ P </ i> = .037， RR 1.39,95％CI 1.02-1.90）在固化的RIF / CE组中进行抗生素治疗（分别为32.8％和38.8％）显着高于RIF / NOR-CE组（分别为22.1％和27.9％）。编号=“否”XML：ID =“AJI12719-SEC-0004”> <标题类型=“main”>结论</标题> >慢性子宫内膜炎三分之一的不孕症妇女与RIF。针对CE的口腔抗生素治疗可能是具有RIF的不孕妇女的有希望的治疗选择。</ p> </段> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-18518/'>《AJRI: American Journal of Reproductive Immunology》</a> <b style="margin: 0 2px;">|</b><span>2017年第5期</span><b style="margin: 0 2px;">|</b><span>共1页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Kitaya Kotaro&option=202" target="_blank" rel="nofollow">Kitaya Kotaro;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Matsubayashi Hidehiko&option=202" target="_blank" rel="nofollow">Matsubayashi Hidehiko;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Takaya Yukiko&option=202" target="_blank" rel="nofollow">Takaya Yukiko;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nishiyama Rie&option=202" target="_blank" rel="nofollow">Nishiyama Rie;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Yamaguchi Kohei&option=202" target="_blank" rel="nofollow">Yamaguchi Kohei;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Takeuchi Takumi&option=202" target="_blank" rel="nofollow">Takeuchi Takumi;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Ishikawa Tomomoto&option=202" target="_blank" rel="nofollow">Ishikawa Tomomoto;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Reproduction Clinic OsakaOsaka Japan;</p> <p>Reproduction Clinic OsakaOsaka Japan;</p> <p>Reproduction Clinic OsakaOsaka Japan;</p> <p>Reproduction Clinic OsakaOsaka Japan;</p> <p>Reproduction Clinic OsakaOsaka Japan;</p> <p>Reproduction Clinic OsakaOsaka Japan;</p> <p>Reproduction Clinic OsakaOsaka Japan;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/1503.html" title="产科学">产科学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=chronic endometritis&option=203" rel="nofollow">chronic endometritis;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=live birth rate&option=203" rel="nofollow">live birth rate;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=oral antibiotic treatment&option=203" rel="nofollow">oral antibiotic treatment;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=prospective study&option=203" rel="nofollow">prospective study;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=repeated implantation failure&option=203" rel="nofollow">repeated implantation failure;</a> </p> <div class="translation"> 机译：慢性子宫内膜炎;活产率;口服抗生素治疗;前瞻性研究;重复植入失败; </div> </li> 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