| 贺方方,丁利军,朱颖春,周建军.子宫内膜区域不均质回声对体外受精/卵胞浆内单精子显微注射临床结局的影响[J].中国医学影像技术,2018,34(1):90~93 |
| 子宫内膜区域不均质回声对体外受精/卵胞浆内单精子显微注射临床结局的影响 |
| Impact of heterogeneous echo in endometrial region on clinical outcome of fertilization in vitro/intracytoplasmic sperm injection |
| 投稿时间：2017-03-14 修订日期：2017-10-30 |
| DOI：10.13929/j.1003-3289.201703066 |
| 中文关键词: 受精,体外 子宫内膜 妊娠 超声检查 |
| 英文关键词:Fertilization in vitro Endometrium Pregnancy Ultrasonography |
| 基金项目:国家自然科学基金（81571391）。 |
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| 中文摘要: |
| 目的 评估体外受精/卵胞浆内单精子显微注射（IVF/ICSI）治疗过程中子宫内膜区域不均质回声对妊娠概率的影响。方法 收集接受IVF/ICSI治疗患者334例，根据IVF/ICSI促排卵过程中B超结果，分为不均质回声组（n=88）和正常回声组（n=246），比较两组患者妊娠情况。结果 正常回声组妊娠概率高于不均质回声组[78.86%（194/246） vs 68.18%（60/88），P=0.01]，正常回声组异位妊娠率低于不均质回声组[1.03%（2/194） vs 5.00%（3/60），P=0.01]。不均质回声组和正常回声组内膜增厚患者妊娠率高于无增厚患者（P均<0.05）。结论 不孕症患者合并内膜区域不均质回声时，妊娠成功率明显降低，异位妊娠率明显增高；但子宫内膜厚度大于10 mm依然有利于妊娠。 |
| 英文摘要: |
| Objective To observe the impact of heterogeneous echo in endometrial region on pregnancy rate after fertilization in vitro/intracytoplasmic sperm injection (IVF/ICSI).Methods Totally 334 patients who underwent IVF/ICSI therapy were enrolled.According to results of B-mode ultrasound in the course of promoting drainage,the patients were divided into heterogeneous echo group (n=88) and normal echo group (n=246).Pregnancy conditions were compared between the two groups.Results Heterogeneous echo group showed significant lower pregnant rate than normal echo group (68.18%[60/88]vs 78.86%[194/246],P=0.01),while the ectopic pregnancy rate of heterogeneous echo group was higher than that of the normal echo group (5.00%[3/60]vs 1.03%[2/194],P=0.01).Pregnancy rate of endometrial thickness patients were higher than that of patients without endometrial thickness in two groups (all P<0.05).Conclusion Pregnant rate reduced and ectopic pregnancy rate increased in infertility patients with endometrial heterogeneous echo,while higher 10 mm endometrial thickness could contribute to increase pregnant rate. |
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