Effect of ultrasound-guided located embryo transfer on the outcomes of in vitro fertilization and embryo transfer

LIU Xi-ru

doi:10.13406/j.cnki.cyxb.2011.03.023

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Effect of ultrasound-guided located embryo transfer on the outcomes of in vitro fertilization and embryo transfer

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- Effect of ultrasound-guided located embryo transfer on the outcomes of in vitro fertilization and embryo transfer
- Journal of Chongqing Medical University Vol. 36, Issue 3, Pages: 347-349(2011)
- 作者机构：
  
  重庆医科大学附属第一医院辅助生殖中心
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2011.03.023
  CLC： R714.8
- Published：2011，
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[1]刘西茹.超声引导下定位胚胎移植对IVF-ET妊娠结局的影响[J].重庆医科大学学报,2011,36(03):347-349.

LIU Xi-ru. Effect of ultrasound-guided located embryo transfer on the outcomes of in vitro fertilization and embryo transfer. [J]. Journal of Chongqing Medical University 36(3):347-349(2011)
[1]刘西茹.超声引导下定位胚胎移植对IVF-ET妊娠结局的影响[J].重庆医科大学学报,2011,36(03):347-349. DOI： 10.13406/j.cnki.cyxb.2011.03.023.

LIU Xi-ru. Effect of ultrasound-guided located embryo transfer on the outcomes of in vitro fertilization and embryo transfer. [J]. Journal of Chongqing Medical University 36(3):347-349(2011) DOI： 10.13406/j.cnki.cyxb.2011.03.023.

摘要

目的:探讨在腹部超声引导下定位胚胎移植对体外受精-胚胎移植（In vitro fertilization and embryo transfer

IVF-ET）妊娠结局的影响。方法:回顾性研究本生殖中心接受首次IVF-ET

包括卵母细胞浆内单精子注射（Intracytoplasmicsperminjection

ICSI）治疗的新鲜胚胎移植232个周期。232个周期按超声下气液滴距宫底距离占宫深比例的不同分为4组

A组（≤1/5）46例、B组（1/5

B组≤2/5）68例

C组（2/5

B组≤3/5）70例、D组（

3/5）48例

分析不同的胚胎移植位置对IVF结局的影响。结果:各组间患者的一般情况如平均年龄、不育年限、平均获卵数、优质胚胎数、移植胚胎数及子宫内膜厚度等均无统计学差异

B、C组的胚胎种植率（25.00%、22.86%）高于A、D组（16.67%、14.58%）

差异无统计学意义;B、C组的临床妊娠率（44.12%、42.86%）明显高于A、D组（21.74%、22.92%）

差异有统计学意义（P

0.05）;各组间异位妊娠率无统计学差异。结论:超声引导下置胚胎距宫底的位置占宫深的比例在1/5

/5之间

可获得较高的临床妊娠率。

Abstract

Objective:To investigate the effect of embryo location after ultrasound-guided transfer on the outcomes of in vitro fertilization and embryo transfer(IVF-ET).Methods:The data of 232 cycles undergoing IVF-ET therapy(including ICSI) were analyzed retrospec-tively.All embryo transfer procedures were guided by trans-abdominal ultrasonography

and the distance between transfer gas-liquid drop and the fundus was measured;all the 232 cycles were divided into four groups:group A(≤1/5) 46 cycles

group B(1/5<B≤2/5) 68 cycles

group C(2/5<B≤3/5) 70 cycles

and group D(>3/5) 48 cycles

based on the proportion of this distance to the uterus depth.Results:There was no statistical difference in age

duration of infertility

number of oocyte

number of zygote

number of high quality embryo

number of transferred embryo

thickness of endometrium

or ectopic pregnancy rate among the four groups.The embryo implantation rate was higher in group B and C than in group A and D(P>0.05).The clinical pregnancy rate was statistically higher in group B and C than in group A and D(P<0.05).Conclusion:The clinical pregnancy rate was higher when the embryo was transferred in the proportion of 1/5-3/5 to the endometrial cavity in IVF-ET cycles.

关键词

体外受精超声引导下胚胎移植妊娠率

Keywords

in vitro fertilizationultrasound-guided embryo transferpregnancy rate

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