安徽医科大学学报2017,Vol.52Issue(12):1876-1879,4.DOI:10.19405/j.cnki.issn1000-1492.2017.12.028
不孕症合并瘢痕子宫患者胚胎解冻移植周期妊娠结局分析
Analysis of the outcome of pregnancy patients with scar uterine in the cycle of frozen-thawed embryo transfer
摘要
Abstract
Objective To observe the pregnancy outcome of the patients with scar uterine (after cesarean section)and the effect of the previous cesarean section defect (PCSD) on the pregnancy outcome in the frozen-thawed embryo transfer cycle.Methods A retrospective analysis was made including 309 F-ET cycles with scar uterine (PCSD group n =67,NPCSD n =242) and 309 F-ET cycles with tubal factor infertility in the same period.Then compared the condition of embryo implantation and the pregnancy outcome among the three group.Results There were no significant differences in embryo implantation rate (IR) and clinical pregnancy rate(PR) among the three group of single embryo transfer cycles.The PR and IR in the PCSD group were significantly lower than NPCSD group and control group respectively in the double embryo transfer cycles (P < 0.05).There were no significant differences in embryo IR and PR among the three group when the embryos numbers were different.Patients in the three group had no mutiple pregnancy after single embryo transfer(SET).Patients in the NPCSD group and control group had higher rate of mutiple pregnancy,but there was not significant difference.There were no significant differences in miscarriage rate and twins live birth rate among the three group.The rate of take baby home in the PCSD group were lower than those in NPCSD group and control group,respectively (P < 0.05).Conclusion SET may reduce multiple pregnancy rate effectively on the premise of affecting the IR.PCSD reduces the IR,PR,take baby home rate,excluding the miscarriage rate.关键词
胚胎解冻移植/剖宫产/子宫切口憩室/妊娠结局Key words
frozen-thawed embryo transfer/cesarean section/caesarean section previous cesarean section defect/pregnancy outcome分类
医药卫生引用本文复制引用
郭培培,余照娟,黄苗苗,向卉芬,曹云霞,魏兆莲..不孕症合并瘢痕子宫患者胚胎解冻移植周期妊娠结局分析[J].安徽医科大学学报,2017,52(12):1876-1879,4.基金项目
卫生行业科研专项项目(编号:201402004) (编号:201402004)