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目的分析治疗后梅毒患者(包括隐性梅毒,血清固定型,已治愈患者)行体外受精-胚胎移植(IVF-ET)和卵胞浆内单精子显微注射(ICSI)的结局,为其知情选择提供帮助。方法回顾性分析2009年~2014年在我院行IVF/ICSI治疗的不孕症夫妻,将其分为非梅毒患者、单独男方梅毒患者、单独女方梅毒患者、双方梅毒患者4组,比较其正常受精率、优质胚胎率、临床妊娠率及流产率。结果双方梅毒患者,正常受精率为54.5%(P<0.01)明显低于其它组,结果有统计学差异(P均<0.05)。然而这4组的优质胚胎率、临床妊娠率及流产率均无统计学差异(P均>0.05)。结论治疗后梅毒患者行IVF/ICSI时,虽然双方梅毒患者的正常受精率偏低,但受精后形成优质胚胎、临床妊娠率及流产率与其它组均无显著性差异。治疗后梅毒患者,不影响IVF/ICSI的妊娠结局。故医护人员在告知治疗后梅毒患者行IVF/ICSI时可不必过分担心与非梅毒患者的正常受精率、优质胚胎率、临床妊娠率及流产率差异,减轻病人的心理压力。
Objective To analyze the outcomes of in vitro fertilization-embryo transfer (IVF-ET) and intracytoplasmic sperm injection (ICSI) in syphilis patients (including latent syphilis, serum-fixed and cured patients) after treatment Choose to help. Methods A retrospective analysis of infertility couples treated with IVF / ICSI in our hospital from 2009 to 2014 was divided into 4 groups: non-syphilis patients, male syphilis patients alone, female syphilis alone patients and syphilis patients from both sides. Fertilization rate, quality embryo rate, clinical pregnancy rate and abortion rate. Results In both syphilis patients, the normal fertilization rate was 54.5% (P <0.01), and the difference was statistically significant (P all <0.05). However, there was no significant difference in quality embryo rate, clinical pregnancy rate and miscarriage rate in these 4 groups (all P> 0.05). Conclusions When IVF / ICSI is performed in patients with syphilis after treatment, although the normal fertilization rate of both syphilis patients is low, good embryos are formed after fertilization. The clinical pregnancy rate and abortion rate have no significant difference with other groups. Treated patients with syphilis do not affect IVF / ICSI pregnancy outcomes. Therefore, medical staff notifying patients with syphilis IVF / ICSI after treatment may not have to worry too much about the normal fertilization rate with non-syphilis patients, high-quality embryo rates, clinical pregnancy rates and abortion rates to reduce the patient’s psychological stress.