摘要
[目的]总结体外受精胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)中特殊病例,以扩大其应用范围,降低并发症,提高成功率。[方法]对IVF-ET中特殊病例进行回顾总结,并提出关键性意见。[结果]①垂体功能不全不孕患者可用HMG促超排卵。妊娠后需调整各种激素用量。②绝经供卵与子宫内膜需同步准备。③采用自然周期卵最经济,并发症少,对健康影响小。④乙肝病毒携带者行IVF-ET应慎重。[结论]①垂体功能损坏与绝经并非IVF-ET禁忌。②IVF-ET用自然周期卵细胞最好。③乙肝病毒携带者HBV DNA-PCR<420copy/ml方考虑IVF,ET不宜超过2个,最好1个。
[Objective] To investigate some special cases for in vitro fertilization-embryo transfer （IVF-ET） cycles to extend the use, enhance successful rate and reduce complications. [Methods] Patients with special situations were investigated and analyzed, and to propose appropriate protocols. [Results] ① HMG can be used for ovarian stimulation in pituitary dysfunctional patients. The doses of estrogen and progesterone as well as thyroid and cortical hormone replenishment should be adjusted according to the progress of pregnancy. ② Endometrium synchronism were stressed on oocyte donation cycles. ③ IVF-ET on natural cycle was an optimal because of low cost, few complications and no sequela. ④ IVF-ET should be carefully performed with hepatitis B virus carriers. [Conclusions] Pituitary dysfunction and menopause aren＇t contradictions of IVF-ET; Oocytes harvested from non-stimulated cycles are optimal for IVP-ET; HBV carriers should not be performed for IVF-ET until HBV DNA PCR 〈 420 copy/ml. No more than 2 embryos （optimally one） may be transferred in these patients.
出处
《海峡预防医学杂志》
CAS
2006年第6期7-9,共3页
Strait Journal of Preventive Medicine
关键词
IVF-ET
绝经
供卵
自然周期
乙肝病毒携带者
In Vitro Fertilization-embryo Transfer （IVF-ET）
Menopause Woman
Ooeyte Donation
Nonstimulated Cycle
HBV Carrier
