体外受精-胚胎移植中106例宫腔积液分析  

Clinical Analysis on 106 Cases of Endometrial Cavity Fluid Visualized Through Ultrasound during IVF-ET

作　　者：陈巧莉[1] 叶虹[1] 曾品鸿[1] 刘东云[1] 裴莉[1] 黄国宁[1] 

机构地区：[1]重庆市妇幼保健院,重庆400013

出　　处：《实用妇产科杂志》2009年第3期178-180,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:探讨体外受精-胚胎移植(IVF-ET)中宫腔积液产生的原因及其对助孕结局的影响。方法:回顾性分析2006年1月至2007年12月间在我院接受IVF助孕的1963个周期,其中106个周期出现宫腔积液。根据有无输卵管积液和宫腔积液分组,分析宫腔积液患者不育原因、超排卵反应及妊娠率。结果:输卵管积液组宫腔积液发生率为7.7%,无输卵管积液组宫腔积液发生率为4.8%,两组比较差异有统计学意义(P<0.05),两组发生卵巢过度刺激综合征(OHSS)的患者宫腔积液发生率分别为15.2%、9.1%,均高于同组未发生OHSS的患者(P<0.05);输卵管积液组患者出现宫腔积液后临床妊娠率显著下降(P<0.05)。结论:控制性超排卵中输卵管积液和OHSS均增加宫腔积液发生率;除输卵管积液患者外,助孕中出现宫腔积液IVF妊娠率不受影响。Objective： To investigate the mechanisms of endometrial cavity fluid （ECF）, and its impact on the pregnancy outcome of IVF. Methods： A retrospective analysis was performed on 1963 IVF cycles involving 106 cycies with ECF during January 2006 to December 2007; the cycles were classified by presence of hydrosalpinx and ECF （detected by ultrasound）. The infertility diagnoses, ovarian response and pregnancy rate were compared among the groups. Results： The incidence of ECF in the hydrosalpinx was 7.7% higher than patients without hydrosalpinx 4.8%（P〈0.05） .The incidence of ECF in OHSS patients was higher than patients without OHSS （ P〈 0.05）. Pregnancy rate was lower in the hydrosalpinx patients in the presence of ECF in comparison with all other patients（ P〈0.05）. Conclusions： Hydrosalpinx and ovary high response, OHSS may increase the incidence of ECF. Endometrial cavity fluid during ovarian stimulation in IVF cycles impairs the outcome of hydrosalpinx patients, but not other patients.

关 键 词：体外受精.胚胎移植 输卵管积液 卵巢过度刺激综合征 宫腔积液 妊娠率 

分 类 号：R711.6[医药卫生—妇产科学]