摘要
目的:探讨体外受精-胚胎移植(IVF-ET)后异位妊娠(EP)的高危因素。方法:对接受体外受精(IVF)、单精子卵胞浆内注射(ICSI)、冻融胚胎移植(FET)助孕后发生异位妊娠病例的助孕指征、助孕方式、异位妊娠类型等进行回顾分析。结果:1771新鲜助孕周期(IVF-ET,ICSI),417个冷冻周期(FET),1025个周期临床妊娠,其中宫内妊娠980个周期,妊娠成功率46.8%,异位妊娠45个周期(宫内宫外同时妊娠3个周期),异位妊娠发生率为2.06%:其中输卵管因素实施IVF-ET后发生异位妊娠37个周期,占82.22%。年龄、移植胚胎个数与本次助孕后异位妊娠的发生无关(P>0.05)。结论:IVF输卵管因素是异位妊娠发生的高危因素,移植管距宫底位置、取卵数、移植前内膜厚度与EP的发生有关。
Objective：To investigate the risk of ectopic pregnancy after in vitro fertilization and embryo transfer （IVF-ET）. Methods： This study retrospectively analysed the indications, methods of assisted conception of the ectopic pregnancy （EP） after IVF-ET and intracytoplasmic sperm injection and embryo Transfer （ISCI-ET） and frozen-thawing embryo transfer. Results： A total of 1771 embryo transfers were performed from June 2007 to June 2009 in Tang Du hospital ,and 1025 clinical pregnancies were obtained and 45 were ectopic pregnancies （Including 3 cases of heterolopic pregnancy HP）. The occurrence rate was 2. 06%. Among all ectopic pregnancies,the assisted conception of 37 cases was tubal pathology and/or pelvic adherence （82. 22% ）. Conclusion： Tubal disease and pelvic adhesions are high-risk factors when ectopie pregnancy occurred. The deep of Transfertubal tip to uterine fundus, average number of eggs and endometrial thickness were closely concerned with ectopic pregnancy rate.
出处
《陕西医学杂志》
CAS
2010年第6期665-667,共3页
Shaanxi Medical Journal
关键词
体外受精
胚胎移植
妊娠
异位/病因学
妊娠
异位/诊断
妊娠
异位/治疗
Fertilization in vitro Embryo transfer Pregnancy,ectopic/ etiology Pregnancy, eetopic/diagnosis Pregnancy ,ectopic/therapy
