世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2014年
25期
17-17,19
,共2页
郝苗苗%强金萍%王国平%刘芳%赵静
郝苗苗%彊金萍%王國平%劉芳%趙靜
학묘묘%강금평%왕국평%류방%조정
体外受精-胚胎移植%GN主导卵泡%优胚率%妊娠率
體外受精-胚胎移植%GN主導卵泡%優胚率%妊娠率
체외수정-배태이식%GN주도란포%우배솔%임신솔
in vitro fertilization and embryo transplantation%GN%dominant follicle%optimal embryo rate%pregnancy rate
目的：探讨COH过程中主导卵泡生长速度对妊娠结局的影响。方法选取黄体中期长方案60例患者，其中卵泡≥14mm后继续Gn,天数≥4天为研究组，另卵泡≥14mm后继续Gn<4天为对照组，对两组的年龄、不孕年限、Gn天数、获卵数、受精率、2PN率、卵裂率、优胚率、妊娠率进行分析。结果1.两组平均年龄（31.57±2.73）岁，不孕年限（3.32±1.20）年，Gn天数（10.21±1.22）天，p＞0.05，差异均无统计学意义．两组的获卵数（9.50±1.32）与（9.27±1.92），受精率（82.40±13.13）%与（71.68±21.57）%，，2PN率（93.03±10.62）%与（94.91±10.49）%，卵裂率（75.61±12.10）%与（70.82±21.95）%,差异也无统计学意义（P>0.05），而研究组于对照组的优胚率（84.75±14.68）%与（55.45±20.18）%，妊娠率（50%）与（20%）差异有统计学意义（P<0.05）。结论在COH过程中适当延长主导卵泡生长时间可以提高优质胚胎率和妊娠率。
目的：探討COH過程中主導卵泡生長速度對妊娠結跼的影響。方法選取黃體中期長方案60例患者，其中卵泡≥14mm後繼續Gn,天數≥4天為研究組，另卵泡≥14mm後繼續Gn<4天為對照組，對兩組的年齡、不孕年限、Gn天數、穫卵數、受精率、2PN率、卵裂率、優胚率、妊娠率進行分析。結果1.兩組平均年齡（31.57±2.73）歲，不孕年限（3.32±1.20）年，Gn天數（10.21±1.22）天，p＞0.05，差異均無統計學意義．兩組的穫卵數（9.50±1.32）與（9.27±1.92），受精率（82.40±13.13）%與（71.68±21.57）%，，2PN率（93.03±10.62）%與（94.91±10.49）%，卵裂率（75.61±12.10）%與（70.82±21.95）%,差異也無統計學意義（P>0.05），而研究組于對照組的優胚率（84.75±14.68）%與（55.45±20.18）%，妊娠率（50%）與（20%）差異有統計學意義（P<0.05）。結論在COH過程中適噹延長主導卵泡生長時間可以提高優質胚胎率和妊娠率。
목적：탐토COH과정중주도란포생장속도대임신결국적영향。방법선취황체중기장방안60례환자，기중란포≥14mm후계속Gn,천수≥4천위연구조，령란포≥14mm후계속Gn<4천위대조조，대량조적년령、불잉년한、Gn천수、획란수、수정솔、2PN솔、란렬솔、우배솔、임신솔진행분석。결과1.량조평균년령（31.57±2.73）세，불잉년한（3.32±1.20）년，Gn천수（10.21±1.22）천，p＞0.05，차이균무통계학의의．량조적획란수（9.50±1.32）여（9.27±1.92），수정솔（82.40±13.13）%여（71.68±21.57）%，，2PN솔（93.03±10.62）%여（94.91±10.49）%，란렬솔（75.61±12.10）%여（70.82±21.95）%,차이야무통계학의의（P>0.05），이연구조우대조조적우배솔（84.75±14.68）%여（55.45±20.18）%，임신솔（50%）여（20%）차이유통계학의의（P<0.05）。결론재COH과정중괄당연장주도란포생장시간가이제고우질배태솔화임신솔。
Objective To discuss the impact of follicles growth rate domination on pregnancy outcome in the process of COH.Methods 60 patients were enrolled in mid luteal long program. The follicles ≥14mm were continuously given Gn more than 4 days in the experimental group, while the follicles ≥14mm were continuously given Gn less than 4 days in the control group. The age, duration of infertility, Gn days, the number of eggs, fertilization rate, rate of 2 pn, cleavage rate optimal embryo rate and pregnancy rate were all analyzed.Results The average age (31.57 + 2.73), duration of infertility (3.32 + 1.20 years) and the Gn days (10.21 + 1.22) showed no statistical difference between two groups (p﹥0.05). Also in two groups, the egg number was (9.50 + 1.32) and (9.27 + 1.92), the fertilization rate (82.40 + 13.13) % and (71.68 + 21.57) %, 2 pn rate (93.03 + 10.62) %and (94.91 + 10.49) % and the cleavage rate (75.61 + 12.10) % and (70.82 + 21.95) % showed no statistical signiifcance (p﹥0.05). However, the optimal embryo rate in the experimental group was (84.75 + 14.68) % ,while that in the control group was (55.45 +20.18) % and the pregnancy rate in these two groups was 50% and 20% , respectively. The difference was statistically signiifcant (P < 0.05).Conclusion In COH process, appropriate extension of the dominant follicle growth time can improve the optimal embryo rate and pregnancy rate.
