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多囊卵巢综合征患者hCG注射日血清睾酮水平对IVF-ET结局的影响
引用本文:高喜红,倪亚莉.多囊卵巢综合征患者hCG注射日血清睾酮水平对IVF-ET结局的影响[J].生殖与避孕,2009,29(12):822-823.
作者姓名:高喜红  倪亚莉
作者单位:甘肃省妇幼保健院生殖医学研究所,兰州,730050
基金项目:甘肃省自然科学基金暨中青年科技基金
摘    要:目的:探讨多囊卵巢综合征患者hCG注射日血清睾酮(T)水平对IVF-ET结局的影响。方法:因顽固性排卵障碍而行IVF助孕的187例PCOS患者,于促排卵前均口服短效避孕药预治疗3 ̄6个月,T降至正常水平后,采用GnRHa长方案,观察比较妊娠组和非妊娠组hCG注射日血清T水平、获卵数、受精率、优质胚胎率。结果:非妊娠组T水平明显高于妊娠组,受精率及优质胚胎率均低于妊娠组,差异有统计学意义。结论:PCOS患者促排卵过程中T明显升高,可能对卵子质量及妊娠结局产生不良影响。

关 键 词:PCOS  睾酮  hCG注射日  IVF-ET  妊娠率

Effect of the Serum Testosterone Levels on the Day of hCG Administration on the Outcomes of IVF-ET Cycle in PCOS Patients
Xi-hong GAO,Ya-li NI.Effect of the Serum Testosterone Levels on the Day of hCG Administration on the Outcomes of IVF-ET Cycle in PCOS Patients[J].Reproduction and Contraception,2009,29(12):822-823.
Authors:Xi-hong GAO  Ya-li NI
Institution:(Research Institute of Reproductive Medicine, Province Hospital of Maternity and Children Care, Lanzhou, 730050)
Abstract:Objective: To explore the effect of the testosterone (T) level on the day of hCG administration on the outcome of IVF-ET in PCOS patients. Methods: A total of 187 stimulation IVF-ET cycles with long protocol were evaluated. Each cycle was treated with oral contraceptive pills (OCs) for 3-6 months. Serum T levels were measured on day 1 of stimulation cycle and the day of hCG administration. The patients were divided into pregnant group and non-pregnant group according to the outcome of IVF-ET. Results: Serum T levels on the day of hCG administration were significantly higher in non-pregnant group than those in pregnant group, while the fertilization rate and good embryo rate were significantly lower in non-pregnant group. Conclusion: The elevated serum T levels on the day of hCG administration may predict a poor outcome of the IVF-ET cycles in PCOS patients.
Keywords:PCOS  IVF-ET
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