病历报告:33岁女性,再婚,因继发性不孕症接受IVF治疗。患者经子宫输卵管造影和诊断性腹腔镜检查证实左侧输卵管阻塞,1989年因右输卵管妊娠行右输卵管切除术。IVF-ET方案为:用GnRH-a抑制垂体,HMG促排卵,HCG诱发排卵;在阴道超声引导下采卵,获9个成熟卵母细胞;4小时后加入其丈夫精子悬液(浓度为100000个/ml),18小时后将4个八细胞胚胎置入宫腔,移植当天至2天后分别肌注HCG2 500IU,并阴道内置黄体酮栓,50mg/天,持续2周。 Medical report: 33-year-old woman, remarried, IVF treatment due to secondary infertility. Patients with hysterosalpingography and diagnostic laparoscopy confirmed the left tubal obstruction, right tubal pregnancy in 1989 due to right tubal resection. IVF-ET protocol: GnRH-a inhibition of pituitary, HMG ovulation induction, HCG induced ovulation; in the vaginal ultrasound-assisted oocyte retrieval, obtained nine mature oocytes; 4 hours after the addition of her husband sperm suspension (concentration of 100000 / Ml). After 18 hours, four eight-cell embryos were placed into the uterine cavity. HCG2 500 IU was intramuscularly injected intramuscularly and vaginally with progesterone suppositories at 50 mg / day for 2 weeks.