有关不孕不育研究与管理与控制的英国指南 Investigating and treating subfertility.pptVIP

United Kingdom guidelines for investigation and management of infertility;Outline目录;NICE versus professional guidelines NICE与专业指南 左图为2013年2月发布的临床指南下图为更新至2015年3月的指南;Levels of evidence依据的等级;A survey of clinical trials of antibiotic prophylaxis in colon surgery: evidence against further use of no-treatment controls.?ML Baum, DS Anish, TC Chalmers, HS Sacks, H Smith and RM Fagerstrom, New Engl J Med 305 (1981), pp. 795–799关于在结肠手术中预防性使用抗生素的临床实验的调查研究：证据提示在进一步的临床试验中不得使用空白对照组;等级划分临床证据的质量和建议的可靠性;Quality of evidence for each outcome;Infertility不孕不育;Aims of investigations调查目的;Investigations in the female女性调查;Test of ovulation排卵检查;Anovulation: endocrine tests排卵障碍：内分泌检查 ;PCOS: Rotterdam consensus criteria多囊卵巢综合征：鹿特丹会议专家推荐标准;Tubal evaluation: predictive value输卵管检查：预测价值 敏感性 特异性;Should laparoscopy be mandatory in the work up of the infertile couple? (Lavy et al EJOGRB 2004)腹腔镜检查是否应该强制性用于不孕夫妇的检查？;HSG vs Lap: pregnancy rate子宫输卵管造影vs腹腔镜：妊娠率;Routine Hysteroscopy常规子宫镜检查;Laparoscopy v HSG v Ultrasound腹腔镜检查 V 子宫输卵管造影 V 超声检查;Semen analysis精液分析;AUC: Motility能动性 O.54 Morphology 形态学0.56;Age and FSH: area under ROC curve年龄和促卵泡激素：受试者特征曲线下面积Chuang et al, 2003. Fertil Steril. 79(1); 6368;Broekmans et al, 2006;Broer et al, 2008;Basic tests基础检查;Bongaarts 1975 adapted by te Velde et al. 2000);Chances of getting pregnant within the next month次月怀孕的概率;Treatments used in infertility 治疗不孕不育的方法;Male factor infertility男性不孕症;Anovulation不排卵症;Clomiphene v Letrozole克罗米芬v来曲唑;rFSH v urinary gonadotrophinsfor ovarian stimulation in ART cycles重组人卵泡促激素vs促性腺激素在辅助生殖技术周期卵巢刺激作用;Endometriosis and Infertility (RCOG) 子宫内膜异位症与不孕不育（英国皇家妇产科学会）;Mild endometriosis and infertility: laparoscopic surgery轻度子宫内膜异位症与不孕不育：腹腔镜手术;Mild endometriosis: IUI + superovulation 轻度子宫内膜异位症：人工授精+超促排卵;Unexplained infertility (UI)原因不明的不孕不育;Clomifene in Unexplained Infertility克罗米芬在原因不明的不孕不育中的应用;Clomifene in unexplained infertility克罗米芬在原因不明的不孕不育中的应用;Intra-uterine insemination (IUI)