The influence of the location of fresh embryo transfer on pregnancy outcome

Bingxue Xu, Yujie He, Juan Ma, Yuanyunzi Wang
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Abstract

Objective To explore the effects of in vitro fertilization and embryo transfer(IVF-ET) position after abdominal ultrasound guided on the pregnancy outcome. Methods Retrospective analysis of 293 IVF-ET cycles in our center from September 2014 to July 2015.According to the difference of the distance from the embryo to the bottom of the uterus, transfer cycles are divided into four groups: 2.0 cm,meanwhile according to the ratio of the distance from the embryo to the bottom of the uterus and the depth of the uterine cavity, transfer cycles are also divided into four groups:<1/6、1/6~<1/3、1/3~<1/2、≥1/2, respectively analysis if there were significant differences in pregnancy outcome among the groups. Results There was no significant differences in the observed indexes between the four groups 2.0 cm in the 293 fresh cycles (P>0.05). While the 0.05),but with the increase of the proportion,the abortion rate was increasing, the rate of ectopic pregnancy was decreased. Conclusions In the process of embryo transfer, the difference of the distance from the embryo to the bottom of the uterus has no effect on the outcome of the pregnancy, and the difference of the ratio of the distance from the embryo to the bottom of the uterus and the depth of the uterine cavity influence pregnancy outcome. Key words: In vitro fertilization and embryo transfer; Pregnancy outcome; Ultrasonic inspection
新鲜胚胎移植位置对妊娠结局的影响
目的探讨腹部超声引导下体外受精胚胎移植(IVF-ET)体位对妊娠结局的影响。方法回顾性分析2014年9月至2015年7月我院293例IVF-ET周期。根据胚胎到子宫底部距离的差异,将移植周期分为4组:2.0 cm,同时根据胚胎到子宫底部距离与子宫腔深度的比值,将移植周期也分为4组:0.05)。(0.05),但随着比例的增加,流产率呈上升趋势,异位妊娠率呈下降趋势。结论在胚胎移植过程中,胚胎到子宫底距离的差异对妊娠结局无影响,而胚胎到子宫底距离的比例和宫腔深度的差异影响妊娠结局。关键词:体外受精与胚胎移植;妊娠结局;超声波检查
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