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体外受精-胚胎移植中多胎减胎后双胎妊娠结局的比较
引用本文:裴莉,叶虹,曾品鸿,罗秀.体外受精-胚胎移植中多胎减胎后双胎妊娠结局的比较[J].重庆医学,2009,38(16).
作者姓名:裴莉  叶虹  曾品鸿  罗秀
作者单位:重庆市妇幼保健院生殖与遗传研究所,400013
摘    要:目的 分析体外受精-胚胎移植(IVF-ET)中多胎妊娠减胎术对双胎妊娠结局的影响.方法 回顾性分析了IVF-ET后直接双胎妊娠492例(A组)和IVF后3胎妊娠减为双胎妊娠26例(B组)、IVF后3胎妊娠中自减为双胎妊娠22例(C组)的妊娠结局.结果 A组早期流产率为6.5%,B组早期流产率为11.5%,C组早期流产率为4.5%,晚期流产率A组为4.7%,B组为7.7%,C组为9.1%;A、B两组之间早期流产率差异有统计学意义(P<0.05),A组与C组比较晚期流产率差异有统计学意义(P<0.05).3组平均年龄、平均孕周、剖宫产率、早产率之间差异无统计学意义(P>0.05).结论 IVF-ET中多胎减为双胎妊娠与IVF-ET中直接双胎妊娠比较,早期流产率明显增加.

关 键 词:双胎妊娠  减胎术  多胎减胎

Pregnany outcome analysis of twin pregnancies and twins pregnancies of multifetal reduction in IVF/ET
PEI Li,YE Hong,ZENG Ping-hong,et al..Pregnany outcome analysis of twin pregnancies and twins pregnancies of multifetal reduction in IVF/ET[J].Chongqing Medical Journal,2009,38(16).
Authors:PEI Li  YE Hong  ZENG Ping-hong  
Institution:PEI Li,YE Hong,ZENG Ping-hong,et al.(Institute of Reproductive , Genetics,Chongqing Obstetrics , Gynecology Hospital,Chongqing 400013,China)
Abstract:Objective To analyse the effect of twins of multifetal reduction in IVF/ET on the pregnancy outcome of twin pregnancies.Methods A retrospective study was carried out to measure miscarriage rate,premature delivery rate,neonatal mortality rate,malformation rate and mean gestational age in the patients of twin pregnancy(group A,n=492) and multifetal pregnancy reduced to obtain twins(group B,n=43) undergoing IVF.Results There was no significant difference in the pregnant complications,premature delivery rate,ma...
Keywords:IVF-ET
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