黄体期促排卵方案在多囊卵巢综合征患者实施IVF-ET技术中的应用——3例病案报道  

Application of ovulation induction at luteal phase in patients with polycystic ovary syndrome during IVF-ET—— three cases report

作　　者：杨青萍[1] 黄筱金[1] 

机构地区：[1]南昌大学第一附属医院辅助生殖科,南昌330006

出　　处：《生殖与避孕》2015年第5期349-352,共4页Reproduction and Contraception

摘　　要：目的:报道3例多囊卵巢综合征(PCOS)患者实施IVF-ET技术采用黄体期促排卵方案的病案。方法:对3例PCOS患者接受常规促排卵方案单一卵泡发育或提前排卵后继续行黄体期促排卵进行回顾性总结与分析。结果:采用微刺激、拮抗剂方案控制性超促排卵(COH),单一卵泡发育或提前排卵后,补救性联合黄体期促排卵可提高获卵数,增加优质胚胎数,降低卵巢过度刺激综合征(OHSS)的发生率。结论:对于常规方案促排卵单卵泡发育或提前排卵后的PCOS患者,继续黄体期促排卵可能成为一种新的有效促排卵方案。Objective： To report ovulation induction at luteal phase in 3 patients with polycystic ovary syndrome （PCOS） during IVF-ET. Methods： A retrospective clinical study was performed to analyze 3 cases with PCOS who received conventional ovulation induction program, single follicule developed or advance, the luteal phase progesterone ovulation continue. Results： Controlled ovarian hyperstimulation （COH） was performed by micro-stimulation or antagonist protocol when single follicle developed or advance, remedial joint ovulation induction at luteal phase increased the number of oocytes retrieved and good-quality embryos, reduced the incidence of OHSS. Conclusion： For those PCOS patients who have only a single follicle development or in advance of ovaluation in the conventional ovarian stimulation protocols, ovulation induction at luteal phase may become a new and effective protocol.

关 键 词：黄体期促排卵 多囊卵巢综合征(PCOS) 卵巢过度刺激综合征(OHSS) 

分 类 号：R714.8[医药卫生—妇产科学]