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纸质出版:2010
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何畏,俞炽阳,李红梅,王凤英,龙玲,彭倩,姚春丽.重复IVF/ICSI-ET治疗对卵巢反应性及妊娠结局的影响[J].陆军军医大学学报(原第三军医大学学报),2010,32(15):1667-1669.
He Wei,Yu Chiyang,Li Hongmei,Wang Fengying,Long Ling,Peng Qian,Yao Chunli.Effect of repeated IVF/ICSI-ET treatment on ovarian reaction and pregnant outcome[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(15):1667-1669.
何畏,俞炽阳,李红梅,王凤英,龙玲,彭倩,姚春丽.重复IVF/ICSI-ET治疗对卵巢反应性及妊娠结局的影响[J].陆军军医大学学报(原第三军医大学学报),2010,32(15):1667-1669. DOI:
He Wei,Yu Chiyang,Li Hongmei,Wang Fengying,Long Ling,Peng Qian,Yao Chunli.Effect of repeated IVF/ICSI-ET treatment on ovarian reaction and pregnant outcome[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(15):1667-1669. DOI:
目的 探讨重复IVF/ICSI-ET治疗对卵巢反应性影响以及提高重复周期临床妊娠率的方法。 方法 对本中心97例不孕症患者208个长方案超促排卵IVF/ICSI-ET治疗周期进行回顾性分析。 结果 与第1次IVF/ICSI-ET治疗相比,第3次治疗组临床妊娠率显著提高(42.9%,P0.05),但在获卵数、MⅡ卵、胚胎形成以及优质胚胎获得上无明显差异(P0.05)。其中50例患者接受了宫腔镜检查或子宫内膜清创术后,第2次治疗时,子宫内膜声像清晰者的临床妊娠率明显高于子宫内膜声像仍然欠清晰者(38.5% vs 16.7%
P0.05);经输卵管切除术和造口术后的IVF/ICSI-ET治疗临床妊娠率为54.5%,明显高于输卵管积液穿刺术者20.0%(P0.05)。 结论 在3个VF/ICSI-ET治疗周期内,卵巢反应性无明显改变。重复超促排卵治疗的患者应更加关注盆腔情况与子宫容受性的改善,提高临床妊娠率
Objective To study the effect of repeated in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) and embryo transfer (ET) treatment on ovarian reaction and the methods to increase the pregnancy rate during the repeated IVF/ICSI-ET treatment. Methods A total of 208 cycles of IVF/ICSI-ET treatment to promote ovulation in 97 infertility patients were retrospectively analyzed whoadmilted in our center from January 2005 to December 2009. Results The pregnancy rate was significantly higher after the third cycle than after the first cycle of IVF/ICSI-ET treatment (P0.05). However
no significant difference was observed in the number of retrieved oocytes
MⅡ oocytes
embryogenesis and high-quality embryos. Of the 97 patients
50 underwent hysteroscopy or endometrial debridement. The pregnancy rate was higher in patients with clearly visible hysteroscopy images than in those with unclearly visible hysteroscopy images (38.5% vs 16.7%
P0.05)after the second cycle of IVF/ICSI-ET treatment. The pregnancy rate was higher for those after IVF/ICSI-ET treatment though ureterectomy and fistulation than for those after IVF/ICSI-ET treatment with sactosalpinx puncture (54.5% vs 20.0%
P0.05). Conclusion There is no obviously difference in ovarian reaction during the three IVF/ICSI-ET treatment cycles. Attention should be paid to the pelvic cavity and uterine receptivity in those undergoing repeated IVF/ICSI-ET treatment in order to increase their pregnancy rate.
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