172个放弃治疗的促排卵周期的临床后果分析  

Analysis on Clinical Consequence for 172 Cases of COH Cycles after Giving up Treatment

作　　者：吴潇浛 黄筱金[1] 陈曼萍 

机构地区：[1]南昌大学第一附属医院生殖中心,南昌330001 [2]江西医学高等专科学校生殖遗传中心,江西上饶334000

出　　处：《医学综述》2015年第5期955-956,共2页Medical Recapitulate

摘　　要：目的了解促排卵过程中因卵巢异常反应而放弃治疗的控制超排卵周期的临床后果。方法对2008年1月1日至2012年6月30日在江西医学高等专科学校生殖遗传中心促排卵治疗的患者因卵巢异常反应而放弃治疗的控制超排卵周期继续进行观察和回访,并进行分类分析。结果172个放弃治疗的控制超排卵周期,因卵巢高反应而放弃治疗的122个周期中,出现10例(8.1%)妊娠。在这10例妊娠的病例中,出现5例卵巢过度刺激综合征(OHSS)(4.1%),4例(3.3%)多胎妊娠。因卵巢低反应而放弃治疗的50个周期中,无一例妊娠,也无OHSS出现。结论临床上因卵巢高反应而放弃治疗的控制超排卵周期,不但存在一定的妊娠概率,而且还存在一定的多胎妊娠和OHSS的风险。因卵巢低反应而放弃治疗的控制超排卵周期,无妊娠和OHSS的风险。Objective To investigate the clinical consequence for controlled ovarian hyperstimulation （ COH） cycle after the patients give up treatment because of abnormal ovarian reaction .Methods COH cycles of 172 patients who gave up treatment due to abnormal ovarian reaction in Reproductive Center of Jian-gxi Medical Institute from Jan.2008 to Jun.2012 were continually followed up and classified .Results In 172 COH cycles after the patients gave up treatment, there were 122 cycles （ 70.9%） of high ovarian response,with 10 cases of pregnancy（8.1%）,4 cases out of the 10 were multiple pregnancy（3.3%） and 5 cases had ovarian hyperstimulation syndrome（OHSS）（4.1%）;and 50 out of the 172 cycles were cycles of low ovarian response,with no cases of pregnancy or OHSS.Conclusion In the COH cycles of patients that give up treatment because of high ovarian response,there are not only chances of pregnancy,but also risks of multiple pregnancy and OHSS;while in those cycles of patients of low ovarian response,there is no risk of pregnancy or OHSS.

关 键 词：卵巢过度刺激综合征 控制超排卵 多胎妊娠 

分 类 号：R711.75[医药卫生—妇产科学]