[1]张莹莹,樊琳琳,苏迎春#,等.体外受精胚胎移植术后输卵管妊娠与宫腔因素的关系[J].郑州大学学报(医学版),2012,(06):847.
 ZHANG Yingying,FAN Linlin,SU Yingchun,et al.Relationship between tubal pregnancy following in vitro fertilization and embryo transfer and uterine factors[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(06):847.
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体外受精胚胎移植术后输卵管妊娠与宫腔因素的关系
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年06期
页码:
847
栏目:
应用研究
出版日期:
2012-11-20

文章信息/Info

Title:
Relationship between tubal pregnancy following in vitro fertilization and embryo transfer and uterine factors
作者:
张莹莹樊琳琳苏迎春#郭艺红孔慧娟
郑州大学第一附属医院生殖医学中心 郑州 450052
Author(s):
ZHANG YingyingFAN LinlinSU YingchunGUO YihongKONG Huijuan
Reproductive Medicine Center,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
输卵管妊娠体外受精胚胎移植子宫内膜
Keywords:
tubal pregnancyin vitro fertilization and embryo transferendometrium
分类号:
R711.6
摘要:
目的:分析辅助生殖技术后发生输卵管妊娠(TP)的危险因素。方法:回顾性分析郑州大学第一附属医院生殖医学中心行常规体外受精胚胎移植(IVFET)、卵胞质内单精子显微注射胚胎移植(ICSIET)、冻融胚胎移植(FET)后发生TP的70例患者(病例组),随机抽取同期宫内妊娠患者210例为对照组。结果:共行辅助生殖技术助孕4 474个周期(3 985例),临床妊娠2 181个周期,其中异位妊娠(EP)83个周期(3.81%),包括TP 70个周期(3.21%),宫内外同时妊娠13个周期(0.60%)。70例TP中51例(72.86%,χ2=5.453,P=0.020)有输卵管及或盆腔病变,18例(25.71%,χ2=6.434,P=0.011)存在宫腔环境不良。结论:宫腔粘连、子宫内膜炎、子宫内膜息肉、瘢痕子宫等不良宫腔环境是辅助生殖技术后TP的危险因素。
Abstract:
Aim:To investigate the risk factors of tubal pregnancies after assisted reproductive technology.Methods:The clinical data of tubal pregnancies after in vitro fertilization and embryo transfer and intracytoplasmic sperm injection and embryo transfer and frozenthawing embryo transfer were retrospectively analyzed.A total of 70 cases of tubal pregnancy were collected as study group,and 210 cases of normal pregnancy were chosen as control group.Results:A total of 4 474 cycles(3 985 cases) had received the assisted reproductive technology treatment,and 2 181 cycles achieved clinical pregnancies,out of which,83 were ectopic pregnancies,and 70(3.21%) were tubal pregnancies,13(0.60%) were intrauterine and extrauterine pregnancy.Among tubal pregnancies,51 cases(72.86%,χ2=5.453,P=0.020) had fallopian tube and pelvic lesions,18 cases(25.71%,χ2=6.434,P=0.011) had abnormal uterine environment.Conclusion:Poor uterine environment such as intrauterine adhesion,endometritis,endometrial polyp,and scarred uterus are the risk factors of tubal pregnancy following assisted reproductive technology.

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备注/Memo

备注/Memo:

#通讯作者,女,1965年10月生,本科,教授,研究方向:辅助生殖技术与内分泌,Email:suyingchun1@126.com
更新日期/Last Update: 2013-07-03