The outcome of In vitro fertilization in women with Polycystic Ovarian Syndrome.

来源 :华中科技大学 | 被引量 : 0次 | 上传用户:ljyxq13571302523
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective:  To study the outcome of In vitro fertilization/intra cytoplasmic sperm injection and embryo transfer in infertile patients with polycystic ovarian syndrome and their effects with increasingage and weight.  Materials and Methods:  This Retrospective study was conducted in Department of Reproduction,Union hospital,Tongji Medical Collge,Huazhong University of Science and Technology (HUST) from January 2008 to December 2010.The study consists of 108 patients with PCOS (without any other cause of infertility) who underwent IVF/ICSI-ET treatment in our centre.The control group consists of 120 patients with only tubal block infertility.Our study was based on the first cycle of IVF/ICSI-ET in two groups.All the patients had treated with the down regulation and ovarian stimulation with long protocol.The dosage of gonadotrophin,clinical pregnancy rate,live birth rate,spontaneous abortion rate,ovarian hyperstimulation syndrome (OHSS) rate and effect of pregnancy with increasing age and weight were analyzed and comparedbetween the two groups.  Results:  The result of this research showed that there are significant difference in overall pregnancy rate between PCOS and tubal factor groups (26.85% (29/108) and 43.33% (52/120),p<0.0094) respectively.The pregnancy rate with different treatment modalities are different in both groups.The pregnancy rate with IVF-ET is statistically significant (PCOS 35.53% (21/76) and Tubal factor 45.84% (44/96,p<0.0145) but the ICSI-ET treatment is not significant.Live birth rate was similar in both groups.Complications were seen in the form of OHSS, abortion andectopic pregnancy.The rate of abortion and ectopic pregnancy were statistically not significant while as,the rate of OHSS is much higher in PCOS than tubal factor group (PCOS 38.89% and Tubal factor 1.6% p<0.0001).In a defined time cycle, the number of rFSH ampoules was higher for the tubal factor group (18.42±7.83 versus 14.49±3.76,p<0.0001) but PCOS required more number of ampoules of HMG than tubal factor group (44.64±18.11vs8.86±9.26,p<0.026).The duration of ovarian stimulation days are more in tubal factor than PCOS group (10.94±2.50vs9.30±1.06,p<0.0001).There are significantly more oocytes perretrieval were obtained in PCOS patients compared with controls (18.48±14.08 versus 10.46±7.04,p<0.0001).Failure of oocyte retrieval and failure of fertilization rate were statistically not significant.  Conclusion:  The result of this study showed that IVF-ET can be a successful treatment in PCOS patients resistant to other usual treatments and the hormonal disturbance of PCOS patients had no significant effect on IVF/ICSI-ET outcome in comparison to patients with tubal factor infertility.Although the baby take-home rate was similar among women with PCOS and control group,but the other outcomes of consecutive cycles were not equal.Cumulative data give more realistic information.
其他文献
山西省太谷县水秀公社郭家堡大队高忠丽同志发现了一个小麦显性基因雄性不育材料.这个不育株是从山西农学院提供的一个八交种新组合的第10代中发现的,原组合是{〔(早熟1号×
众星云集共享盛宴2012年9月18日,在六朝古都南京,2012情系华风缘聚金陵——CCTV新闻联播《天气预报》景观广告VIP客户交流酒会成功召开。会上,华风集团总经理石曙卫,中国传媒
目的:比较团注对比剂跟踪技术和小剂量团注测试技术对第二代双源CT双能量肺灌注扫描成像质量和伪影的影响。材料和方法:对60例临床疑似肺动脉栓塞的患者,采用第二代双源CT行双
针对当前实验教学耗材管理混乱、信息不规范、效率低、管理手段落后等问题,以大数据采集与处理为核心,构建了基于大数据思维的实验耗材智能管理模型,通过软件工程的需求分析
据报道,在大豆开花初期至成熟期之间,每亩施PGR—1有效成分21.42克可提高产量28%。据此,我们与南开大学元素所协作,并在该所陈茹玉教授的指导下,于1978—1979年进行了试验、
我县一九七九年秋在来风公社三合五队用“西南三○二”进行油菜大、壮苗与小、弱苗对比试验,每小区五厘,折亩栽七千八百株,结果看出:前者亩产二百六十六斤,后者亩产一百一十
一、春播中早熟区平川地当家品种为晋谷4号、晋谷9号、张纯一,搭配品种为晋谷5号,有苗头的新品种为7141-281;丘陵地区当家品种为繁峙黄、张纯一,搭配品种为东方亮;高寒地区
川西平原探索小麦高产途径是从调整群体降低基本苗,较多依靠分蘖成穗.试验品种选用“76-3”、川育五号、“凡六”.每亩10万基本苗(低密度)、17万(中密度)、24万(高密度),播
Plants adapt to phosphorus (P) deficiency through a complex of biological processes and many genes are involved. Tomato (Solanum lycopersicum L. ’Hezuo906’) p
为全面了解兽医专业学位研究生教育发展状况,对全国17所研究生培养单位的五类群体进行了问卷调查.调查结果显示:兽医专业学位研究生教育发展状况十分良好,培养目标明确,师资