CAJ | 학술논문

目的：分析子宫内膜异位症不孕患者行体外受精－胚胎移植（ IVF-ET ）治疗的临床效果。方法回顾性分析98例子宫内膜异位症不孕患者行IVF-ET治疗（观察组）与98例单纯输卵管因素不孕患者行IVF-ET治疗（对照组）后的妊娠结局。结果两组患者移植日子宫内膜厚度、卵裂率、流产率比较，差异均无统计学意义（ P ＞0．05）；观察组人促性腺激素（Gn）用量高于对照组（ P ＜0．01），获卵数、受精率、妊娠率均低于对照组（ P ＜0．05或P ＜0．01）。结论子宫内膜异位症不孕患者行IVF-ET治疗其获卵数、受精率及妊娠率明显不及单纯输卵管因素致不孕行IVF-ET治疗者，但对不孕患者仍然不失为一种有效的治疗手段。
목적：분석자궁내막이위증불잉환자행체외수정－배태이식（ IVF-ET ）치료적림상효과。방법회고성분석98례자궁내막이위증불잉환자행IVF-ET치료（관찰조）여98례단순수란관인소불잉환자행IVF-ET치료（대조조）후적임신결국。결과량조환자이식일자궁내막후도、란렬솔、유산솔비교，차이균무통계학의의（ P ＞0．05）；관찰조인촉성선격소（Gn）용량고우대조조（ P ＜0．01），획란수、수정솔、임신솔균저우대조조（ P ＜0．05혹P ＜0．01）。결론자궁내막이위증불잉환자행IVF-ET치료기획란수、수정솔급임신솔명현불급단순수란관인소치불잉행IVF-ET치료자，단대불잉환자잉연불실위일충유효적치료수단。
Objective To analyze the clinical efficacy of infertile patients with endometriosis treated in vitro with fertilization and embryo transfer ( IVF-ET) .Methods A retrospective analysis of 98 patients undergoing endometriosis ( endometriosis ) IVF-ET treatment (observation group) and 98 cases of simple tubal factor undergoing IVF-ET therapy (control group) were made.Results The two groups of patients had no significant difference ( P >0.05) in the transplantation of endometrium ,cleavage rate,abortion rate and content of Gn of endometriosis group was higher than that of control group ( P <0.01) and number of retrieved oocytes ,fertiliza-tion rate and pregnancy rate were lower than those of control group ( P <0.05 or P <0.01).Conclusion The number of retrieved o-ocytes,fertilization rate and pregnancy rate in infertile patients with endometriosis undergoing IVF -ET are obviously lower than those of the infertility patients with simple tubal factor undergoing IVF-ET,but is still an effective treatment of infertility patients .