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收稿:2019-01-31,
纸质出版:2019-08-15
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苟文婕, 高明霞, 张学红. 子宫内膜区动脉血流信号检测的临床价值[J]. 第三军医大学学报, 2019,41(15):1501-1505.
Wenjie GOU, Mingxia GAO, Xuehong ZHANG. Clinical value of arterial blood flow signals in endometrial area in outcomes of freeze-thawed embryo transfer[J]. Journal of Third Military Medical University, 2019, 41(15): 1501-1505.
苟文婕, 高明霞, 张学红. 子宫内膜区动脉血流信号检测的临床价值[J]. 第三军医大学学报, 2019,41(15):1501-1505. DOI: 10.16016/j.1000-5404.201901242.
Wenjie GOU, Mingxia GAO, Xuehong ZHANG. Clinical value of arterial blood flow signals in endometrial area in outcomes of freeze-thawed embryo transfer[J]. Journal of Third Military Medical University, 2019, 41(15): 1501-1505. DOI: 10.16016/j.1000-5404.201901242.
Objective
2
To analyze the clinical value of arterial blood flow signals in the endometrial area in the outcomes of freeze-thawed embryo transfer (FET).
Methods
2
A total of 175 FET cycles in our special hospital from October 2015 to March 2017 were retrospectively analyzed
and the endometrial areas when endometrial thickness over 7 mm were detected the endometrial arterial blood flow signals with color Doppler ultrasonography. The cases were divided into 3 groups according to the numbers of endometrial arterial blood flow signals < 2
2~5
and ≥6. Pregnancy outcomes
such as embryo implantation rate
biochemical pregnancy rate
clinical pregnancy rate
ectopic pregnancy rate and early abortion rate were followed up in all the cases.
Results
2
The embryo implantation rate and clinical pregnancy rate were statistically lower in those with the number of endometrial arterial blood flow signals
<
2 than those with that of 2~5 and ≥6 (
P
<
0.05)
but no such difference were seen between the 2 latter groups (
P
>
0.05). There were no significant differences in biochemical pregnancy rate and early abortion rate among the 3 groups (
P
>
0.05). Logistic regression analysis showed that the number of endometrial arterial blood signals were correlated with clinical pregnancy in those with the number of signals 2~5 and ≥6 (
OR
=4.33
95%
CI
: 1.24~15.19;
OR
=4.70
95%
CI
: 1.21~ 18.28
P
<
0.05).
Conclusion
2
The fewer arterial blood flow signals in the endometrial area are
the lower embryo implantation rate and clinical pregnancy rate.
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