体外受精-胚胎移植后妊娠妇女的产科结局  

Obstetrical Outcome of Pregnancy on in Vitro Fertilization and Embryo Transfer 128 Cases Analysis

作　　者：叶蓉华[1] 张丽珠[1] 杨孜 赵文秋 

机构地区：[1]北京医科大学第三临床医学院妇产科,100083

出　　处：《中华妇产科杂志》2000年第3期157-159,共3页Chinese Journal of Obstetrics and Gynecology

摘　　要：目的　探讨体外受精 胚胎移植 (invitrofertilizationandembryotransfer,IVF ET)后妊娠妇女的产科结局。方法　采用回顾性分析方法 ,对IVF ET后妊娠妇女 12 8例 (观察组 )与 11372例自然妊娠妇女 (对照组 )的产科结局进行比较。结果　观察组早产发生率为 2 0 .3% (2 6 /12 8) ,多胎发生率为 2 0 .3% (2 6 /12 8) ,妊娠高血压综合征 (妊高征 )发生率为 14.8% (19/12 8) ,低出生体重儿发生率为2 5 .5 % (41/16 1) ,剖宫产率为 88.3% (113/12 8) ,围产儿死亡率为 31.1‰ (5 /16 1) ;而对照组分别为3.3% (380 /11372 )、1.0 % (119/11372 )、7.6 % (86 3/11372 )、3.6 % (416 /11492 )、34 .7% (3946 /11372 )、8.9‰ (10 2 /11492 ) ,两组比较 ,差异有显著性。结论　IVF ET后妊娠妇女的产科并发症明显增高 。Objective To evaluate the obstetrical outcome of in vitro fertilization and embryo transfer (IVF ET) pregnancy. Methods This study compared the obstetrical outcome of 128 cases of IVF ET pregnancy with that of 11 372 natural pregnancies as control group. Results There were 20.3%(26/128) multiple pregnancy, 20.3%(26/128) premature birth, 14.8%(19/128) pregnancy induced hypertension, 25.5%(41/161) small for gestational age, 88.3%(113/128) cesarean section rate and 31.1‰(5/161) perinatal mortality in the IVF ET group. However, these data in the control group were 3.3%(380/11 372),1.0%(119/11 372), 7.6% (863/11 372),3.6%(416/11 492),34.7%(3 946/11 372)and 8.9‰(102/11 492), respectively. Conclusion The incidence of obstetrical complications was significantly higher in IVF ET pregnancy. Multiple pregnancy is a high risk factor.

关 键 词：受精 体外 胚泡移植 妊娠结局 妊娠 多胎 

分 类 号：R321-33[医药卫生—人体解剖和组织胚胎学]