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自然周期体外受精联合未成熟卵母细胞体外成熟技术在卵巢低反应患者中的临床应用价值初探

李建华 徐野 周国萍 郭军红

生殖医学杂志2012,Vol.21Issue(1):25-29,5.
生殖医学杂志2012,Vol.21Issue(1):25-29,5.DOI:10.3969/j.issn.1004-3845.2012.01.007

自然周期体外受精联合未成熟卵母细胞体外成熟技术在卵巢低反应患者中的临床应用价值初探

Preliminary study of natural cycle in vitro fertilization combined with in vitro maturation of immature oocytes for treatment of infertile patients with poor responding

李建华 1徐野 1周国萍 1郭军红1

作者信息

  • 1. 北京军区总医院生殖医学中心,北京 100700
  • 折叠

摘要

Abstract

Objective: To explore the clinical efficiency of new alternative-natural cycle IVF combined with IVM of immature oocytes (natural cycle IVF/M) to treat infertile patients with poor responding.Methods; Thirty one women with normal ovaries underwent treatment for 34 cycles of natural cycle IVF/M. Human chorionic gonadotropin (hCG) was administered (10,000 IU) 36 hours before oocyte retrieval in a natural cycle. After aspiration of dominant follicle and small follicles, the mature oocytes were inseminated by intracytoplasmic sperm injection (ICSI) immediately. The immature oocytes were matured in vitro and inseminated by ICSI, and then the embryos transferred.Results: Four oocyte pickup cycles were cancelled. The oocytes of 27 patients were successfully retrieved in 30 cycles. Twenty seven ET cycles were completed, in which 11 patients were clinically pregnant. Nine patients had delivered. One patient was ongoing pregnancy and one patient had miscarried because of ectopic pregnancy.Conclusions: Natural cycle IVF/M may be an alternatively efficient method for infertile patients with poor responding.

关键词

体外受精/体外成熟/卵巢低反应/不育症/临床妊娠

Key words

IVF/IVM/Poor responder/Infertility/Clinical pregnancy

引用本文复制引用

李建华,徐野,周国萍,郭军红..自然周期体外受精联合未成熟卵母细胞体外成熟技术在卵巢低反应患者中的临床应用价值初探[J].生殖医学杂志,2012,21(1):25-29,5.

生殖医学杂志

OACSTPCD

1004-3845

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