两种黄体支持方案对冷冻胚胎移植患者治疗效果的比较研究

Zijing Zhang, Weigang Liu, Wenyi Lu, Shibao Song, J. Pi
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引用次数: 0

摘要

目的:探讨两种黄体支持方案在冷冻胚胎移植(FET)患者中的效果。方法:回顾性分析2016年9月至2018年7月荆州市中心医院生殖医学科340例体外受精胚胎移植患者的完整临床资料。根据黄体支持方案分为A组和B组。通过比较两组患者临床妊娠指标的实验室参数,比较两种黄体制剂的临床效果。结果:两组患者不孕年龄及持续时间、体重指数(BMI)、基础促卵泡激素(FSH)、基础黄体生成素(LH)、基础雌激素(E2)水平、子宫内膜厚度、移植当日移植优质胚胎数量等一般情况比较,差异均无统计学意义(P < 0.05)。B组的着床率(32.55%)、生化妊娠率(53.57%)、临床妊娠率(51.78%)均显著高于A组(25.26%、35.11%、34.66%)(P < 0.05)。结论:冷冻胚胎移植患者采用黄体酮阴道缓释胶囊联合黄体酮黄体支持可提高临床妊娠率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Study of the Therapeutic Effects of Two Corpus Luteum Support Regimens on Patients with Frozen Embryo Transfer
Aim: To investigate the efficacy of two corpus luteum support programs in patients with frozen embryo transfer (FET). Methods: A retrospective analysis of the complete clinical data of 340 patients undergoing in vitro fertilization embryo transfer in the Department of Reproductive Medicine, Jingzhou Central Hospital from September 2016 to July 2018. These patients were divided into group A and B according to the luteal support program. We compared the clinical outcomes of the two corpus luteum preparations by comparing the laboratory parameters of the two groups of patients with clinical pregnancy indicators. Results: We found there was no significant difference in the results of general conditions in the two groups of patients, such as infertility age and duration, body mass index (BMI), basal follicle stimulating hormone (FSH), basal luteinizing hormone (LH), basal estrogen (E2) levels, the endometrial thickness, the number of transplanted high-quality embryos on the day of transplantation and so on (P > 0.05). We found that the implantation rate (32.55%), biochemical pregnancy rate (53.57%), and clinical pregnancy rate (51.78%) in group B were significantly higher than those in group A (25.26%, 35.11%, and 34.66%, respectively) (P 0.05). Conclusion: We conclude that patients who are scheduled for frozen embryo transfer use progesterone vaginal sustained release capsules combined with luteal progesterone luteal support, have improved clinical pregnancy rates.
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