HCG和子宫内膜类型及厚度和血清孕酮值对IVF-ET治疗结局的影响  

Influence of HCG,progesterone,type and thickness of endometrium on the outcome of IVF-ET treatment

作　　者：李美 

机构地区：[1]南京市沿江工业开发区大厂区医院检验科,210048

出　　处：《国际检验医学杂志》2013年第3期313-314,316,共3页International Journal of Laboratory Medicine

摘　　要：目的研究血清人绒毛膜促性腺激素(HCG)、孕酮水平以及子宫内膜类型、厚度对体外受精-胚胎移植(IVF-ET)治疗结局的影响。方法选择接受IVF-ET治疗的夫妇作为研究对象,根据生育结局分为妊娠组和未妊娠组,在胚胎移植当日(简称ET日)和注射HCG当日(简称HCG日)监测血清HCG和孕酮水平,观察子宫内膜的厚度、类型和波动方式。结果 ET日和HCG日,妊娠组HCG、孕酮水平、子宫内膜厚度、子宫内膜A型、B型及正向运动例数均明显高于未妊娠组(P<0.05);子宫内膜C型及无运动、负向运动、不规则运动例数明显少于未妊娠组(P<0.05),子宫内膜相向运动例数与未妊娠组比较差异无统计学意义(P>0.05)。结论血清HCG、孕酮水平升高,内膜厚度的增加、A型、B型子宫内膜的正向运动均有助于IVF-ET治疗的成功。Objective To study the serum levels of human chorionic gonadotropin（HCG） ,progesterone and endometrial type and thickness on the outcome of in vitro fertilization-embryo transfer（IVF-ET） treatment. Methods Couples,accepting IVF-ET treat- ment,were divided into pregnancy group and non-pregnancy group according to the outcome of treatment and serum level of HCG and progesterone,endometrial type and thickness,and form of wave were detected on the day taking ET（ET day） and the day injec- ting HCG（HCG day）. Results Levels of HCG and progesterone,endometrial thickness,the number of type A and B endometrium, and the number of cases of positive movement were significantly higher, and the number of type C endometrium, the number of cases of non-movement,negative movement and irregular movement were lower in pregnancy group than those in non-pregnancy group, but there was no statistical difference of the numbers of cases of opposite movement between the two groups. Conclusion High ser- um level of HCG and progesterone,increasing of endometrial thickness and positive movement of type A and B endometrium could contribute to IVF-ET treatment success.

关 键 词：子宫内膜 不育 女(雌)性 受精 体外 胚胎组织移植 

分 类 号：R714.8[医药卫生—妇产科学]