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体外受精-胚胎移植周期中第一天未见原核胚胎移植后的妊娠结局分析
引用本文:李彩虹,程岽凯,于洪君,孙晓玲,刘吉,李宝山,翁宁. 体外受精-胚胎移植周期中第一天未见原核胚胎移植后的妊娠结局分析[J]. 湖南医学, 2014, 0(10): 1952-1954
作者姓名:李彩虹  程岽凯  于洪君  孙晓玲  刘吉  李宝山  翁宁
作者单位:沈阳东方医疗集团菁华医院,辽宁沈阳110005
摘    要:【目的】探讨体外受精‐胚胎移植( IVF‐ ET )周期中 d1未见原核胚胎(0PN‐E)移植后的妊娠结局。【方法】回顾性分析接受辅助生殖助孕且d1无2原核胚胎(2PN‐E)或2PN‐E极少的218个新鲜周期,于取卵后d3全部或部分移植优质的0PN‐E ,随访其妊娠最终结局。【结果】全部移植0PN‐E组20例中有8例患者获得临床妊娠,临床妊娠率40.00%,着床率18.42%,抱婴回家率25.00%;部分移植0PN‐E组198例中有79例患者获得临床妊娠,临床妊娠率39.90%,着床率17.20%,抱婴回家率27.27%。【结论】在IVF‐ET 治疗周期中,对于2PN‐E极少或无2PN‐E的周期,0PN‐E可作为备选胚胎移植。

关 键 词:胚胎移植  受精  ,体外  妊娠结局  妊娠率  回顾性研究

Analysis of Clinical Outcomes after in Vitro Fertilization-embryo Transfer with Non-pronuclear at Day 1
Affiliation:LI Cai-hong , CHENG Dong-kai , YU Hong-jun , SUN Xiao-ling ,et al ( Jinghua Hospital, Shenyang Eastern Medical Group, Shenyang 110005, China )
Abstract:[Objective] To explore the pregnancy outcome after in vitro fertilization‐embryo transfer(IVF‐ET) with non‐pronuclear (0PN‐E) at on Day 1 .[Methods] Totally 208 novel cycles of IVF‐ET without 2‐pronuclear (2PN‐E) or with rare 2PN‐E were analyzed retrospectively .All or a part of high quality 0PN‐E were transferred at d3 after oocyte retrieval .Final pregnancy outcome was followed up .[Results] Among 20 patients in all transfer 0PN‐E group ,8 patients got clinical pregnancy ,and clinical pregnancy rate was 40% ,and the implantation rate was 18 .42% ,and delivery rate was 25% .Among 198 patients in partial 0PN‐E group ,79 patients got clinical pregnancy ,and clinical pregnancy rate was 39 .90% ,and the implantation rate was 17 .20% ,and delivery rate was 27 .27% .[Conclusion]In IVF‐ET cycles ,0PN‐E can be used as the alternative embryo transfer for patients with rare 2PN‐E or without 2PN‐E .
Keywords:Embryo T ransfer  Fertilization in Vitro  Pregnancy Outcome  Pregnancy Rate  Retro-spective Studies
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