子宫内膜形态对体外受精-胚胎移植治疗结局的影响  

The effect of endometrial morphology on the outcome of IVF-ET

作　　者：张国玲[1] 王冬玫[1] 李萌[1] 张少娣[1] 

机构地区：[1]河南省人民医院生殖中心,河南郑州450003

出　　处：《河南医学研究》2013年第5期770-772,共3页Henan Medical Research

摘　　要：目的:探讨长方案控制性促排卵(COS)周期中注射hCG当日的子宫内膜形态对体外受精-胚胎移植治疗结局的影响。方法:回顾性分析926个IVF/ICSI周期,根据注射hCG当日子宫内膜形态分为3组,A组:子宫内膜呈A型,共406个周期;B组:子宫内膜呈B型,共394个周期;C组:子宫内膜呈C型,共126个周期。比较各组之间的年龄,不孕年限,内膜厚度,卵子数目,可利用胚胎数目,基础FSH,Gn天数,移植胚胎数目、种植率、妊娠率等指标。结果:A组临床妊娠率、种植率显著高于B组和C组,差异有统计学意义(P<0.05)。Gn天数C组最长,与A和B组比较差异有统计学意义(P<0.05)。各组之间的年龄,不孕年限,卵子数目,可利用胚胎数目,基础FSH,移植胚胎数目等比较差异均无统计学意义。结论:注射hCG当日内膜形态为A型时适宜胚胎着床。Objective： To explore the effect of different endometrial morphology on the day of hCG administration in long protocol controlled ovarian stimulation on the outcome after IVF-ET. Methods： A retrospective analysis was conducted of 926 IVF-ET cycles,according to the endometrial morphology on the day of hCG administration,cycles were divided into 3 groups. Group A： endometrial morphology A type,406 cycle; Group B： endometrial morphology B type,394 cycle; Group C： endometrial morphology C type,126 cycle; The age、duration of infertility、endometrial thickness、number of oocyte、number of embryos available、number of embryos transferred、dosage of Gn、implantation rate、pregnancy rate were compared among the three groups. Results： The clinical pregnancy rate and implantation rate of group A was statistically higher than those of group B and C（ P 0. 05）. The duration of Gn of group C was statistically higher than those of group A and B（ P 0. 05）. There were no significant difference regarding the age、duration of infertility、number of oocyte,et al between the different endometrial morphology. Conclusion： The A type endometrial morphology is ideal for embryos implantation.

关 键 词：控制性促排卵 子宫内膜形态 体外受精-胚胎移植 妊娠率 种植率 

分 类 号：R711[医药卫生—妇产科学]