CAJ | 학술논문

目的：探讨多囊卵巢综合征患者体外受精-胚胎移植后的妊娠结局。方法选取2010年5月至2014年5月收治的多囊卵巢综合征患者50例作为观察组，采用体外受精-胚胎移植治疗，同时选取同期收治的单纯输卵管因素行体外受精-胚胎移植治疗的50例患者为对照组，比较两组患者的妊娠结局。结果观察组妊娠期糖尿病率、妊娠期高血压疾病率、新生儿早产率、剖宫产率均高于对照组，自然分娩率低于对照组，差异均有统计学意义（P<0.05）。两组足月小于胎龄儿、足月大于胎龄儿、新生儿窒息率比较差异未见统计学意义（P>0.05）。结论多囊卵巢综合征采用体外受精-胚胎移植治疗，具较高有效性，但妊娠高血压、妊娠糖尿病、流产率、剖宫产率、早产率均较高，需引起临床足够重视。
목적：탐토다낭란소종합정환자체외수정-배태이식후적임신결국。방법선취2010년5월지2014년5월수치적다낭란소종합정환자50례작위관찰조，채용체외수정-배태이식치료，동시선취동기수치적단순수란관인소행체외수정-배태이식치료적50례환자위대조조，비교량조환자적임신결국。결과관찰조임신기당뇨병솔、임신기고혈압질병솔、신생인조산솔、부궁산솔균고우대조조，자연분면솔저우대조조，차이균유통계학의의（P<0.05）。량조족월소우태령인、족월대우태령인、신생인질식솔비교차이미견통계학의의（P>0.05）。결론다낭란소종합정채용체외수정-배태이식치료，구교고유효성，단임신고혈압、임신당뇨병、유산솔、부궁산솔、조산솔균교고，수인기림상족구중시。
Objective To investigate the pregnancy outcome of in vitro fertilization-embryo transfer of patients with polycystic ovary syndrome. Methods From May 2010 to May 2014,50 patients with polycystic ovary syndrome were se-lected as observation group,they all underwent in vitro fertilization-embryo transfer. At the same time,50 cases underwent in vitro fertilization-embryo transfer because of simple tubal factor were chosen as control group. The pregnancy outcomes of the two groups were compared. Results The rate of gestational diabetes,hypertensive disorders in pregnancy rate,the rate of preterm neonates,cesarean rates were higher,natural birth rate in the observation group were lower than those in the control group,the differences were significant(P<0. 05). There was no significant difference in the full-term small for gestational age children,full-term gestational age children or neonatal asphyxia between the two groups(P>0. 05). Conclusions In vitro fertilization-embryo transfer treatment for polycystic ovary syndrome,has higher effectiveness,but the incidences of pregnancy-in-duced hypertension,gestational diabetes,miscarriage rate,cesarean section rate,preterm birth are high,which should be paid attention to.