黄体早期雌二醇下降幅度对体外受精-胚胎移植结局的预测

发布时间：2018-05-06 20:20

本文选题：体外受精-胚胎移植 + 雌二醇　；参考：《实用医学杂志》2015年14期

【摘要】：目的:探讨黄体早期(取卵后第2日)雌二醇(E2)下降幅度对体外受精-胚胎移植(IVF-ET)妊娠结局的预测作用。方法:对2013年7-10月在柳州市妇幼保健院生殖中心接受IVF-ET/ICSI-ET治疗的236个长方案周期进行分析,取卵后第2日测定血E2值,根据取卵后第2日E2值相对于HCG日E2值的下降幅度分为3组:A组E2下降幅度70%(70例);B组E2下降幅度70%~80%(114例);C组E2下降幅度80%(52例),比较3组间的获卵数、受精率、优胚率、临床妊娠率、流产率。结果 :3组获卵数,受精率、优胚率、流产率比较差异均无统计学意义(P0.05),临床妊娠率C组(44.2%)与A组(68.6%)、B组(68.4%)比较,差异有统计学意义(P0.05)。结论:黄体早期(取卵后第2日)E2值相对于HCG日E2值的下降幅度对于妊娠结局有一定的预测作用。
[Abstract]:Aim: to investigate the predictive effect of the decrease of estradiol E _ 2 (E _ 2) in the early luteal body on the pregnancy outcome of IVF-ETs in vitro fertilization-embryo transfer (IVF-ETS). Methods: a total of 236 long program cycles treated with IVF-ET/ICSI-ET in the Reproductive Center of Liuzhou Maternal and Child Health Hospital from July to October 2013 were analyzed, and the serum E2 levels were measured on the 2nd day after eggs were taken out. According to the decrease of E2 value on the 2nd day after oocyte extraction compared with the E2 value on the day of HCG, they were divided into 3 groups: group A (n = 70), group B (n = 70), group C (n = 114), group C (n = 52). Clinical pregnancy rate, abortion rate. Results there was no significant difference in the number of eggs, fertilization rate, excellent embryo rate and abortion rate between the two groups (P 0.05). The clinical pregnancy rate was 44.2% in group C and 68.6% in group A. There was a significant difference between group A and group A (P 0.05). Conclusion: the decrease of E _ 2 value in early luteal body (the 2nd day after ovulation) compared with E _ 2 value on HCG day can predict the outcome of pregnancy to some extent.
【作者单位】：广西柳州市妇幼保健院生殖中心;
【分类号】：R714.8

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