数理医药学杂志
數理醫藥學雜誌
수리의약학잡지
JOURNAL OF MATHEMATICAL MEDICINE
2015年
9期
1403-1404
,共2页
宫腔镜%体外受精-胚胎移植%着床率%临床妊娠率%宫腔病变
宮腔鏡%體外受精-胚胎移植%著床率%臨床妊娠率%宮腔病變
궁강경%체외수정-배태이식%착상솔%림상임신솔%궁강병변
hysteroscope%in vitro fertilization and embryo transfer(IVF-ET)%implantation rate%clinical pregnancy%intrauterine lesion
目的：：研究反复IVF-ET失败后宫腔镜后再次胚胎移植的最佳时间。方法：取2010年1月~2013年1月在华中科技大学附属同济医院生殖中心曾行IVF-ET失败要求再次行IVF-ET患者共205例,年龄20~35岁,既往行IVF-ET 失败≥2次,ET日内膜厚度≥7 mm。Logistic 模型进行回归分析宫腔镜检查距离胚胎移植时间与患者临床妊娠率负相关,根据宫腔镜检查距离胚胎移植时间分为3组,第1组距离胚胎移植时间60d以内,148例；第2组距离胚胎移植时间60d~8个月,37例；第3组距离胚胎移植时间8个月以上,20例。结果：3组的着床率分别为25.%,16.21%,20.%；临床妊娠率分别为47.97%,27.02%,35%；流产率为11.26%,20%,14.28%。结论：宫腔镜检后再次ET的间隔时间与临床妊娠率相关,其最佳的时间为60d之内。
目的：：研究反複IVF-ET失敗後宮腔鏡後再次胚胎移植的最佳時間。方法：取2010年1月~2013年1月在華中科技大學附屬同濟醫院生殖中心曾行IVF-ET失敗要求再次行IVF-ET患者共205例,年齡20~35歲,既往行IVF-ET 失敗≥2次,ET日內膜厚度≥7 mm。Logistic 模型進行迴歸分析宮腔鏡檢查距離胚胎移植時間與患者臨床妊娠率負相關,根據宮腔鏡檢查距離胚胎移植時間分為3組,第1組距離胚胎移植時間60d以內,148例；第2組距離胚胎移植時間60d~8箇月,37例；第3組距離胚胎移植時間8箇月以上,20例。結果：3組的著床率分彆為25.%,16.21%,20.%；臨床妊娠率分彆為47.97%,27.02%,35%；流產率為11.26%,20%,14.28%。結論：宮腔鏡檢後再次ET的間隔時間與臨床妊娠率相關,其最佳的時間為60d之內。
목적：：연구반복IVF-ET실패후궁강경후재차배태이식적최가시간。방법：취2010년1월~2013년1월재화중과기대학부속동제의원생식중심증행IVF-ET실패요구재차행IVF-ET환자공205례,년령20~35세,기왕행IVF-ET 실패≥2차,ET일내막후도≥7 mm。Logistic 모형진행회귀분석궁강경검사거리배태이식시간여환자림상임신솔부상관,근거궁강경검사거리배태이식시간분위3조,제1조거리배태이식시간60d이내,148례；제2조거리배태이식시간60d~8개월,37례；제3조거리배태이식시간8개월이상,20례。결과：3조적착상솔분별위25.%,16.21%,20.%；림상임신솔분별위47.97%,27.02%,35%；유산솔위11.26%,20%,14.28%。결론：궁강경검후재차ET적간격시간여림상임신솔상관,기최가적시간위60d지내。
Objective:To research the best time to retransplant after hysteroscopy after repeated failure in IVF-ET.Methods:Select a total of 205 patients received in reproductive center of the Afiliated Tongji Hospital of Huazhong Hospital of Science and Technology who once failed in IVF-ET and were asking for IVF-ET a-gain.Inclusive criteria:age:20 ~ 35;Previous failures in IVF-ET≥2;Thickness of intima in the ET day ≥7mm;the temporal distance between hysteroscopy and ET was negatively related to patients'clinical pregnan-cy rate according to the logistic regressive analysis.Divide them into 3 groups according to the temporal dis-tance between hysteroscopy and ET ,in group one,the temporal distance between hysteroscopy and ET was within 60 days and 148 cases were included in this group;in group 2,the temporal distance between hysteros-copy and ET was within 60 days ~8 months and 37 cases were included in this group ;in group 3,the tempo-ral distance between hysteroscopy and ET was above 8 months and 20 cases were included.Results:The im-plantation rate in the three group was 25.%,16.21%,20.% respectively;the clinical pregnancy rate was 47.97%,27.02%,35% respectively and abortion rate was 11.26%,20%,14.28%.Conclusion:The interval be-tween hysteroscopy and ET is related to pregnancy rate,the best time shall be within 60 days.
