J4 ›› 2016, Vol. 1 ›› Issue (10): 61-64.

• 临床医学 • 上一篇    下一篇

不同内膜准备方案对冻融胚胎移植结局的影响

  

  • 收稿日期:2015-08-18 修回日期:2016-05-21 出版日期:2016-10-15 发布日期:2016-10-15
  • 通讯作者: (1. Clinical College, Dali University, Dali, Yunnan 671000, China; 2. The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China)
  • 作者简介:何培,硕士研究生,主要从事辅助生殖实验室技术研究.
  • 基金资助:

    云南省教育厅科学研究基金资助项目(2013C172)

The Effect of Different Endometrium Preparations Programs on the Transfer Outcome of
the Frozen-thawed Embryo

  1. (1.大理大学临床医学院,云南大理671000;2.大理大学第一附属医院,云南大理671000)
  • Received:2015-08-18 Revised:2016-05-21 Online:2016-10-15 Published:2016-10-15

摘要:

目的:分析不同内膜准备方案对冻融胚胎移植结局的影响,为选择适宜的内膜准备方案和提高临床妊娠率提供理论依
据。方法:回顾2014年1月至2015年3月197周期118例不孕夫妇临床资料,将内膜准备方案分为3组(A组:自然周期方案
组;B组:促排卵方案组;C组:激素替代方案组)。比较3组在子宫内膜厚度、性激素(黄体生成素-LH、孕酮-P、雌二醇-E2)水
平、临床妊娠率、单胎和双胎妊娠率、流产率的差异性。结果:3组内膜厚度、LH、P水平差异均有统计学意义(P<0.05),E2水平
差异无统计学意义(P>0.05)。3组两两互比临床妊娠率、单胎和双胎妊娠率、流产率差异无统计学意义(P>0.017)。结论:3组
内膜准备方案子宫内膜厚度、LH、P水平对临床妊娠率无显著影响。3组内膜准备方案对冻融胚胎移植结局无明显差异。

关键词: 冻融胚胎移植技术, 不同内膜下准备方案, 性激素, 子宫内膜厚度, 临床结局

Abstract:

Objective: To analyze the clinical effects of different endometrium preparation programs on the transfer of frozen-thawed
embryo for providing basis for the selection of suitable subintimal preparation programs and improving clinical pregnancy rate.
Methods: Based on the clinical data of 118 infertile couples cases with 197 cycles from January 2014 to March 2015, the endometrium
preparation programs were divided into three groups(Group A: natural cycle group; Group B: stimulate ovulation solutions group;
Group C: hormone replacement group). The difference of endometrial thickness, gonadal hormone concentrations(luteinizing hormone-
LH, progesterone-P, estradiol-E2), clinical pregnancy rate, single fetus and twin pregnancy rate, and the rate of abortion among three
groups were compared. Results: Among group A, B and group C, endometrial thickness, LH, P are statistically significant(P<0.05).
Estradiol(E2)levels of three groups have no significant difference(P>0.05). Clinical pregnancy rate, single fetus and twin pregnancy
rates, rate of abortion of three groups have no statistical significance. Conclusion: Endometrial thickness, LH, different levels of of
three groups under the programs of endometrial prepartions have no significant effect on clinical pregnancy rate. Three endometrial
preparation programs have no significant effect on the transfer outcome of the frozen-thawed embryo.

Key words: frozen-thawed embryo transfer technology, different endometrium preparation programs, gonadal hormone concentrations;
endometrial thickness,
clinical outcome

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