宫颈锥切术后不孕症患者体外受精-胚胎移植临床分析

发布时间：2018-02-24 16:35

本文关键词： 宫颈锥切不孕症体外受精-胚胎移植妊娠结局　出处：《中国当代医药》2016年33期 　论文类型：期刊论文

【摘要】：目的分析宫颈锥切术后不孕症患者体外受精-胚胎移植(IVF-ET)助孕特点及妊娠结局。方法回顾性分析2012年1月~2014年12月我中心36例宫颈锥切术后不孕症患者(研究组)的IVF-ET方案、实验室指标、妊娠结局,并与同期350例非宫颈锥切术后患者(对照组)进行比较。结果两组IVF-ET方案、获卵数、受精率、优质胚胎率、新鲜周期移植妊娠率、早期流产率、异位妊娠率比较,差异均无统计学意义(P0.05);研究组移植胚胎数明显少于对照组(P0.01),减胎率明显高于对照组(P0.01);两组剖宫产率比较差异无统计学意义(P0.05)。研究组的胎膜早破、早产率、低体重儿比例高于对照组,但差异无统计学意义(P0.05)。结论宫颈锥切术后不孕症患者IVF-ET助孕特点与其他患者无明显差异,为了减少多胎妊娠,常常会减少移植胚胎数,但不影响妊娠率。
[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.
【作者单位】：大连市妇女儿童医疗中心大连市生殖与遗传学中心;
【分类号】：R714.8

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