新鲜周期单囊胚移植314例临床结局

发布时间：2018-03-22 01:39

  本文选题：选择性单囊胚移植(eSBT)　切入点：双囊胚移植(DBT)　出处：《中华生殖与避孕杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的 探讨新鲜周期单囊胚移植(single blastocyst transfer,SBT)的可行性。方法 回顾性分析314个新鲜周期行SBT患者的临床资料,从年龄、囊胚分级等方面比较分析临床结局。结果 妊娠组患者的年龄显著低于未妊娠组(P0.001);选择性SBT(elective SBT,eSBT)组的临床妊娠率显著高于非选择性SBT(non-elective SBT,non-eSBT)组(P0.05);年龄≤35岁的患者,eSBT组的临床妊娠率与双囊胚移植(double blastocyst transfer,DBT)组无统计学差异,但多胎妊娠率显著降低(P0.001);而35岁的患者,eSBT组的临床妊娠率低于DBT组(P0.05),组间的多胎妊娠率无统计学差异(P0.05);囊胚扩张和孵化的程度与临床妊娠率显著相关,优质囊胚可获得更好的妊娠结局。结论 妊娠结局与囊胚的质量及患者的年龄显著相关,对于年龄≤35岁,有优质囊胚的患者,可以进行SBT。
[Abstract]:Objective to investigate the feasibility of single blastocyst transfer blastocyst transplantation (SBT) in fresh cycle. Methods the clinical data of 314 patients with fresh cycle SBT were retrospectively analyzed. Results the age of pregnancy group was significantly lower than that of non-pregnancy group (P 0.001), the clinical pregnancy rate of selective SBT(elective SBT group was significantly higher than that of non-selective SBT(non-elective SBT non-eSBT group, and the age 鈮，

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