IVF/ICSI取卵术中两种17G取卵针不同应用效果分析  

Effect of two 17-gauge aspirating needles on outcome of transvaginal ultra-sound guided oocyte retrieval for IVF/ICSI

作　　者：周娜[1] 黄莉[1] 王芳[1] 李荔[1] 

机构地区：[1]广东省妇幼保健院生殖健康与不孕症科,广州市511442

出　　处：《实用医学杂志》2017年第5期746-749,共4页The Journal of Practical Medicine

基　　金：广州市科技创新委员会项目(编号:201510010290)

摘　　要：目的:探讨体外受精-胚胎移植(IVF/ICSI)取卵术中应用不同17G取卵针后的患者的胚胎发育情况和临床结局差异。方法:比较在IVF/ICSI取卵术中应用进口17G取卵针(A组,333例)和国产取卵针(B组,532例)的患者的胚胎发育情况和临床结局指标,包括穿刺卵泡数、获卵数、卵裂数、可利用胚胎数、优胚数、总受精率、阴道出血、中重度卵巢过度刺激综合征(OHSS)发生率、临床妊娠率、种植率和流产率等。结果:两组患者在穿刺卵泡数、卵裂数、可利用胚胎数、优胚数、总受精率、中重度OHSS发生率、临床妊娠率、种植率和流产率上的差异均无统计学意义(P>0.5)。结论:应用国产取卵针或进口取卵针并不影响IVF/ICSI取卵术中的患者的胚胎发育情况和临床结局。取卵针的选择应在患者耐受度、效率、经济和手术者的个人使用等方面找到良好的平衡,可结合患者实际情况、成本、有效性和取卵操作者的偏好权衡考虑以选择合适的取卵针。Objective To compare the embryo development and pregnancy outcomes of patients by using two different 17- gauge aspiration needles in transvaginal uhra- sound guided oocyte retrieval. Methods A retrospective study was performed to analysis the embryo development and pregnancy outcomes of patients by using different ooeytes aspiration needle： import needle （group A） and domestic needle （group B）, including puncture follicles, oocytes rate, cleavage, available embryos, high- quality embryo, the total fertility rate, bleeding, moderately severe OHSS incidence, pregnancy rate, embryo implantation rate and abortion rate, etc. Results There was no significant statistical difference in the two different ovum aspiration needles. Conclusion The embryo development and pregnancy outcomes were similar with both needles. Each needle has its advantages and flaws in transvaginal ultra-sound guided oocyte retrieval, and we should make a comprehensive choice weighing the practical situation of patients, cost, effectiveness and the doctors＇ preferences.

关 键 词：阴道超声穿刺取卵术 取卵针 体外受精-胚胎移植 

分 类 号：R714.8[医药卫生—妇产科学]