不同辅助生殖助孕技术的妊娠结局比较

发布时间：2019-07-05 07:43

【摘要】：目的:比较体外受精-胚胎移植(IVF-ET)和单精子卵胞浆内注射(ICSI)的妊娠结局。方法:回顾性分析2010年1月至2014年1月本中心接受辅助生殖技术助孕治疗的9 973个IVF-ET及1 368个ICSI-ET患者的临床资料,分别比较两组的着床率、妊娠率、多胎率、异位妊娠率、流产率、早产率、低出生体重儿率、先天畸形率。结果:IVF组与ICSI组着床率(33.42%,31.53%)、妊娠率(50.00%,47.30%)、早期流产率(13.93%,11.50%)、早产率(25.04%,23.26%)、性别比(115∶100,103∶100)、畸形率(1.05%,0.76%)均无统计学差异(P0.05)。IVF组的异位妊娠率(3.75%,1.76%)、多胎率(38.54%,32.44%)、低出生体重儿率(32.07%,26.86%)较ICSI组均显著升高(P0.05或P0.01)。结论 :不同辅助生殖技术方法未明显增加妊娠风险,但常规IVF比ICSI的多胎率、异位妊娠率、低出生体重儿率更高。
[Abstract]:Objective: to compare the pregnancy outcomes between in vitro fertilisation and embryo transfer (IVF-ET) and intracytoplasmic injection of (ICSI). Methods: the clinical data of 9973 IVF-ET and 1368 ICSI-ET patients treated with assisted reproductive technology from January 2010 to January 2014 were analyzed retrospectively. the implantation rate, pregnancy rate, multiple pregnancy rate, ectopic pregnancy rate, abortion rate, premature birth rate, low birth weight rate and congenital malformation rate were compared between the two groups. Results: there were no significant differences in implantation rate (33.42%, 31.53%), pregnancy rate (50.00%, 47.30%), early abortion rate (13.93%, 11.50%), premature delivery rate (25.04%, 23.26%), sex ratio (115 鈮，

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