辅助生殖技术中年轻低预后患者不良妊娠结局的非预期因素分析  

Unexpected factors of adverse pregnancy outcomes in young patients with low prognosis in assisted reproductive technology

作　　者：杨晨[1] 王媛媛[1] 甄秀梅[1] Yang Chen;Wang Yuanyuan;Zhen Xiumei(Peking University Third Hospital Reproductive Medicine Center,Beijing 100091,China)

机构地区：[1]北京大学第三医院生殖医学中心,北京100091

出　　处：《中华生殖与避孕杂志》2024年第5期526-530,共5页Chinese Journal of Reproduction and Contraception

基　　金：国家重点研发项目(2022YFC2703800)。

摘　　要：卵巢低反应会引起不良妊娠结局,是目前生殖领域亟须解决的难题之一。造成卵巢低反应患者不良妊娠结局的因素较多,除可预知因素如年龄、子宫因素及医源性因素外,我们也应重视那些非预期的因素如促排卵不当、基因缺陷、环境因素、不良生活习惯、体质量指数等,为提高年轻低预后患者的活产率提供临床指导。本文将从卵巢刺激方案、基因缺陷、体质量指数以及其他非预期影响因素进行阐述。Poor ovarian response is one of the urgent problems in the reproductive field,which may lead to poor pregnancy outcomes.There are many factors that may lead to poor pregnancy outcomes in patients with poor ovarian response.In addition to predictable factors such as age,uterine factors and iatrogenic factors,we should also pay attention to those unexpected factors such as improper ovulation promotion,genetic defects,environmental factors,bad living habits,body mass index,etc,and provide clinical guidance for improving the live birth rate of young patients with low prognosis.This article will elaborate on several aspects including ovarian stimulation regimen,genetic defects,body mass index,and other unexpected influencing factors.

关 键 词：生殖技术 辅助 卵巢低反应 年轻女性 波塞冬标准 低预后 

分 类 号：R714.8[医药卫生—妇产科学]