子宫畸形患者行ART治疗64例临床分析

来源 :广东省医学会第一次生殖医学学术会议暨广东省医学会生殖医学分会成立大会 | 被引量 : 0次 | 上传用户:jdbc_jiang
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  目的 分析64名子宫畸形患者行IVF/ICSI治疗的临床资料,对子宫畸形患者的助孕结局做出分析总结,以期为临床提供借鉴.方法 回顾性分析2002年1月1日到2009年12月31日因不孕行IVF/ICSI治疗的子宫畸形患者,按照子宫畸形的类型进行分组,比较各组病人的基本资料及ART治疗结局.妊娠的患者追踪至分娩,比较自然流产率、早产率、活婴分娩率、新生儿体重和分娩孕周以及有无合并畸形.结果 因子宫畸形行ART治疗患者共64人,按照子宫畸形的类型分为四组,鞍形子宫13人,不完全纵隔子宫14人,单角子宫19人,双子宫18人.四组患者在年龄,不孕年限,基础FSH水平方面都没有差异,获卵数,受精率,卵裂率,优质胚胎率四组相似, 累积妊娠率在不完全纵隔子宫组(78.57%)显著高于鞍形子宫组(38.46%)和双子宫组(38.89%),与单角子宫组(47.37%)无统计学差异.四组均未出现宫外孕情况,在流产率、早产率、活婴分娩率、多胎妊娠率、分娩孕周和出生体重方面均无统计学差异.所有出生婴儿均未发现有畸形.结论 子宫畸形患者行IVF或ICSI有比普通不孕患者更差的临床妊娠率和种植率.不完全纵隔切除术后患者的临床妊娠率相对鞍形子宫和双子宫更高.
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