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目的探讨第一周期体外受精-胚胎移植(IVF-ET)失败的卵巢低反应(POR)患者,第二周期添加小剂量生长激素后卵巢的反应性及IVF-ET的治疗结局。方法本研究回顾性分析了42例第一周期IVF-ET失败的POR患者,在促排卵方案及Gn使用剂量不变的前提下,主要观察添加小剂量GH对第二周期IVF-ET临床妊娠率(CPR)的影响,其次还包括获卵数、2PN受精率、优质胚胎数、可冻存胚胎数和种植率等。结果 GH组的临床妊娠率为33.34%,其优质胚胎数和冷冻胚胎数均高于对照组,且均有统计学差异(P<0.05)。结论小剂量生长激素可增加POR患者IVF-ET的成功率,减少治疗费用,降低不良反应,安全、经济、有效。
Objective To investigate the ovarian response (IVF-ET) and the outcome of IVF-ET in patients with ovarian failure (POR) who failed IVF-ET in the first cycle and the second cycle after adding small doses of growth hormone. Methods This study retrospectively analyzed 42 cases of POR patients with failed IVF-ET in the first cycle under the premise of ovulation induction and unchanged dose of Gn, and observed the effect of low-dose GH on the second trimester IVF-ET clinical pregnancy rate (CPR), followed by the number of oocytes retrieved, 2PN fertilization rate, the number of high quality embryos, the number of cryopreserved embryos and planting rate. Results The clinical pregnancy rate was 33.34% in GH group, and the number of high quality embryos and frozen embryos in GH group were higher than those in control group (P <0.05). Conclusion Small dose of growth hormone can increase the success rate of IVF-ET in patients with POR, reduce the cost of treatment, reduce adverse reactions, and be safe, economical and effective.