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宮頸錐切術(shù)后不孕癥患者體外受精-胚胎移植臨床分析

發(fā)布時(shí)間:2018-02-24 16:35

  本文關(guān)鍵詞: 宮頸錐切 不孕癥 體外受精-胚胎移植 妊娠結(jié)局 出處:《中國當(dāng)代醫(yī)藥》2016年33期  論文類型:期刊論文


【摘要】:目的分析宮頸錐切術(shù)后不孕癥患者體外受精-胚胎移植(IVF-ET)助孕特點(diǎn)及妊娠結(jié)局。方法回顧性分析2012年1月~2014年12月我中心36例宮頸錐切術(shù)后不孕癥患者(研究組)的IVF-ET方案、實(shí)驗(yàn)室指標(biāo)、妊娠結(jié)局,并與同期350例非宮頸錐切術(shù)后患者(對照組)進(jìn)行比較。結(jié)果兩組IVF-ET方案、獲卵數(shù)、受精率、優(yōu)質(zhì)胚胎率、新鮮周期移植妊娠率、早期流產(chǎn)率、異位妊娠率比較,差異均無統(tǒng)計(jì)學(xué)意義(P0.05);研究組移植胚胎數(shù)明顯少于對照組(P0.01),減胎率明顯高于對照組(P0.01);兩組剖宮產(chǎn)率比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。研究組的胎膜早破、早產(chǎn)率、低體重兒比例高于對照組,但差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論宮頸錐切術(shù)后不孕癥患者IVF-ET助孕特點(diǎn)與其他患者無明顯差異,為了減少多胎妊娠,常常會(huì)減少移植胚胎數(shù),但不影響妊娠率。
[Abstract]:Objective to analyze the characteristics of IVF-ET-assisted pregnancy and pregnancy outcome in infertile patients after cervical conization. Methods the IVF-ET regimen of 36 infertility patients (study group) after cervical conization from January 2012 to December 2014 in our center was retrospectively analyzed. The laboratory indexes and pregnancy outcome were compared with those of 350 patients (control group) after non-cervix conization. Results the number of eggs, fertilization rate, high quality embryo rate, fresh cycle pregnancy rate, early abortion rate, and early abortion rate were obtained in the two groups. There was no significant difference in ectopic pregnancy rate (P 0.05); the number of embryos transferred in the study group was significantly lower than that in the control group (P 0.01), and the reduction rate was significantly higher than that in the control group (P 0.01), and there was no significant difference in the cesarean section rate between the two groups (P 0.05). The proportion of low birth weight infants was higher than that of the control group, but the difference was not statistically significant (P 0.05). Conclusion there is no significant difference in the characteristics of IVF-ET assisted pregnancy between the infertile patients after cervical conization and other patients. In order to reduce the number of multiple pregnancies, the number of transferred embryos is often reduced. But it does not affect the pregnancy rate.
【作者單位】: 大連市婦女兒童醫(yī)療中心大連市生殖與遺傳學(xué)中心;
【分類號】:R714.8

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