控制性超排卵的异常反应—41例宫腔积液临床分析  

Analysis of 41 cases of endometrial cavity fluid happened in cycles of controlled ovarian hyperstimulation

作　　者：汤丽莎[1] 李延林[1] 罗建[1] 冯玉华[1] 

机构地区：[1]江苏省连云港市妇幼保健院,222001

出　　处：《中国优生与遗传杂志》2006年第12期107-108,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨控制性超排卵(COH)中宫腔积液的发生因素及其对精子运动功能的影响。方法回顾性分析54例出现宫腔积液的临床资料,其中13例进行宫腔积液抽吸,并将抽吸液作为培养基(实验组)与精子培养液(对照组)共同培养精子,观察精子的运动功能变化情况。结果控制性超排卵1091个周期,41个周期出现宫腔积液,发生率为3.76%。其中19个周期存在促性腺激素的减量,减量周期共197个,发生率为9.64%;无减量周期共894个,22个周期出现宫腔积液,发生率为2.46%,有显著性差异(P<0.05=。培养精子结果两组间比较,试验组的活力、活率较对照组降低(P<0.05)。结论控制性超排卵中的药物剂量的调整—减量是导致宫腔积液的高发因素;宫腔内积液对精子的运动功能存在影响(P<0.05=。Objective： In search of the cause of endometrial cavity fluid and the effect to semen mobility. Methods ： Analyse the clinical datum of 41 cases, Compared the change of semen mobility in condition of sperm culture - medium and endometrial cavity fluid which was pumped in 13 cases. Results ： The incidence of endometrial cavity fluid was 3.76%. The reduction of Gn was founded in 19 cases. Compared to the cases without the reduction of Gn , there were significant differences （ P 〈 0. 05 =. And the semen mohility in condition of endometrial cavity fluid was lower than that of sperm culture - medium. Conclusions ： The reduction of Gn was the easily reason of endometrial cavity fluid which has effect in semen mobility .

关 键 词：控制性超排卵 宫腔积液 

分 类 号：R714.8[医药卫生—妇产科学]