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来曲唑在高龄不孕患者体外受精-胚胎移植中的应用价值
引用本文:孟琳,高士友,郭玉佳,邓朝晖,阳翎,罗曼,唐慧珍,柳朝华. 来曲唑在高龄不孕患者体外受精-胚胎移植中的应用价值[J]. 中国妇幼保健, 2011, 26(12): 1835-1837
作者姓名:孟琳  高士友  郭玉佳  邓朝晖  阳翎  罗曼  唐慧珍  柳朝华
作者单位:湖南省妇幼保健院生殖医学中心,湖南,长沙,410008
摘    要:目的:探讨来曲唑在高龄不孕患者体外受精-胚胎移植中的应用价值。方法:回顾性分析2008年3月~2010年8月接受IVF/ICSI-ET治疗的82例高龄不孕患者(年龄38~45岁),按促排方案分为来曲唑组(超短方案,n=37)与对照组(短方案,n=45)。比较组间的促性腺激素(Gn)使用剂量、Gn用药时间、绒毛膜促性腺激素(HCG)注射日子宫内膜(Em)厚度及血清促黄体生成素(LH)值、雌二醇(E2)值、获卵数、MII卵数、受精率、卵裂率、优质胚胎率、冷冻胚胎率、种植率和妊娠率。结果:来曲唑(LE)组与对照组Gn使用剂量、Gn用药时间、HCG日子宫内膜厚度、获卵数、MII卵数、受精率、妊娠率比较,差异无统计学意义(P>0.05)。来曲唑组HCG日血清激素LH值、E2值明显低于对照组,种植率明显高于对照组,差异有统计学意义(P<0.05)。结论:LE用于高龄不孕妇女超促排卵行IVF/ICSI-ET助孕,可以克服超生理剂量雌激素对内膜的毒性作用,对子宫内膜容受性的影响较小,胚胎种植率明显提高,有助于提高IVF/ICSI-ET妊娠率。

关 键 词:来曲唑  高龄  促排卵  体外受精-胚胎移植

Application value of letrozole in in vitro fertilization-embryo transfer of elderly patients with infertility
MENG Lin,GAO Shi-You,GUO Yu-Jia et al.Center for Reproductive Medicine,Maternal , Child Health Hospital of Hu'nan,Changsha ,Hu'nan,China. Application value of letrozole in in vitro fertilization-embryo transfer of elderly patients with infertility[J]. Maternal and Child Health Care of China, 2011, 26(12): 1835-1837
Authors:MENG Lin  GAO Shi-You  GUO Yu-Jia et al.Center for Reproductive Medicine  Maternal    Child Health Hospital of Hu'nan  Changsha   Hu'nan  China
Affiliation:MENG Lin,GAO Shi-You,GUO Yu-Jia et al.Center for Reproductive Medicine,Maternal and Child Health Hospital of Hu'nan,Changsha 410008,Hu'nan,China
Abstract:Objective:To explore the application value of letrozole in in vitro fertilization-embryo transfer(IVF-ET) of elderly patients with infertility.Methods:82 elderly patients(aged 38~45 years old) with infertility receiving IVF/intracytoplasmic sperm injection(ICSI)-ET from March 2008 to August 2010 were analyzed retrospectively,then they were divided into letrozole group(ultrashort protocol,n=37) and control group(short protocol,n=45).The dose,duration time of gonadotropin(Gn),the thickness of endometrium on t...
Keywords:Letrozole  Elderly  Ovulation induction  In vitro fertilization-embryo transfer  
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