异位妊娠治疗方式对体外受精-胚胎移植周期卵巢低反应的影响分析  

Effects of ectopic pregnancy treatment on ovarian response

作　　者：赵庆红[1] 杨菁[1] 余楠[1] 尹太郎[1] 方健叶[1] 

机构地区：[1]武汉大学人民医院生殖医学中心,430060

出　　处：《中华全科医师杂志》2012年第7期534-536,共3页Chinese Journal of General Practitioners

摘　　要：因异位妊娠引起输卵管因素的不孕患者183例，根据异位妊娠治疗方式不同分为甲氨蝶呤（MTX）组、保守手术组和患侧输卵管切除术3组，分析其行体外受精-胚胎移植（IVF—ET）的差异。MTX组、保守手术组和患侧输卵管切除组问的促性腺激素（Gn）用量、获卯数、优质胚胎数、妊娠率进行比较差异均无统计学意义（P〉0．05），保守组的临床妊娠率（37．9％）高于MTX组（21．6％）和切除组（23．5％），且保守组与输卵管切除组相比差异具有统计学意义（P〈0．05）。提示异位妊娠治疗方式对IVF—ET的结局有一定的影响，保守手术治疗组的IVF—ET妊娠率稍高。A total of 183 patients of ectopic pregnancy due to tubal factors were divided into the methotrexate （MTX）, conservative surgery and salpingectomy groups. The dose of gonadotropin, counts of harvested oocytes and high-quality embryos and pregnancy rate were compared among three groups to analyze the differences of in vitro fertilization and embryo transfer （IVF-ET）. And the above parameters showed no significant differences （ P 〉 0. 05 ）. The clinical pregnancy rate of the conservative group was higher than the other two groups. And the difference was statistically significant compared with salpingectomy （ P 〈 0. 05 ）. It suggested that the treatments of ectopic pregnancy had some effects on the outcome of IVF-ET. The pregnancy rate was slightly higher in the conservative surgery group.

关 键 词：妊娠 异位 受精 体外 

分 类 号：R714.22[医药卫生—妇产科学]