促性腺激素药物对多囊卵巢综合征患者辅助助孕结局的比较
DOI:
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

四川省科技计划资助重点研发项目


Comparison of different gonadotropin drugs for infertility treatment in polycystic ovary syndrome patients
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 探讨不同促性腺激素药物在多囊卵巢综合征(PCOS)不孕患者中辅助助孕结局的比较。 方法 收集 2019年1月~2021年6月于华西第二医院行辅助助孕的PCOS不孕患者共336例行回顾性分析,根据控制性卵巢刺激中使用的Gn,分为重组人卵泡雌激素(rFSH)组(163例)、尿源性人卵泡刺激素(uFSH)组(110例)、高纯度尿促性素(HP-hMG)组(63例),所有患者均采用拮抗剂方案进行控制性卵巢刺激(COS)。比较3组基线信息、促排卵指标、辅助生殖结局及并发症等情况。 结果 3组患者基线水平比较差异无统计学意义(P>0.05)。和rFSH组、uFSH组相比,HP-hMG组虽然获卵数和胚胎数目较少,但卵成熟率高,胚胎质量更好,新鲜周期取消移植风险低,移植后临床妊娠率似乎更高(P<0.05)。 结论 在PCOS患者促排卵治疗中, HP-hMG可减少卵泡发育数目,提高卵子成熟度和胚胎质量,降低卵巢过度刺激综合征和新鲜周期取消移植的风险。

    Abstract:

    Objective To compare the effect of different gonadotropin (Gn) drugs for infertility treatment in polycystic ovary syndrome (PCOS) patients. Methods This retrospective study enrolled a total of 336 patients diagnosed with PCOS and underwent IVF/ICSI treatment from January 2019 to June 2021 in Reproductive Medical Center of West China Second University Hospital of Sichuan University. Based on different Gn drugs used in controlled ovarian stimulation, patients were divided into three groups, rFSH group, uFSH group, and HP-hMG group. All patients adopted the gonadotropinreleasing hormone antagonist protocol. The data regarding baseline characteristics, controlled ovarian stimulation parameters, embryo condition, pregnancy outcome and complications of these groups were collected and analyzed. Results The baseline characteristics were similar in the three groups. Compared with rFSH group and uFSH group, although patients in HP-hMG group retrieved less oocytes and embryos, they had higher oocyte maturation rate and higher quality embryo and lower risk of fresh embryo transplantation cancel rate, and higher clinical pregnancy rate after transplantation. Conclusion For PCOS patients receiving IVF/ICSI treatment, using HP-hMG as exogenous Gn could reduce the follicle development number, improve the oocyte maturation rate and embryo quality, reduce the risk of ovarian hyperstimulation syndrome and fresh embryo transplantation cancel rate.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2022-10-20
您是第位访问者
网站版权所有:《西部医学》编辑部     蜀ICP备18038379号-4
地址:四川省成都市武侯区小天竺街75号财富国际18F-1号    邮政编码:610041
电话:028-85570072/85588403 本网站支持 IPv6    E-mail:xbyxqk@163.com
技术支持:北京勤云科技发展有限公司