IVF - ET中卵巢低反应临床资料分析及再次治疗策略
柳倩茹;邓伟芬;马文敏;罗国群
【期刊名称】《中国计划生育学杂志》 【年(卷),期】2011(019)011
【摘要】目的:探讨在体外受精-胚胎移植(IVF - ET)周期控制性超排卵(COH)中出现临床卵巢低反应患者的临床特征及其再治疗策略.方法:回顾性分析接受IVF - ET治疗,表现为临床卵巢低反应的189例患者临床资料(以获卵≤4枚为诊断标准),并按照患者年龄分为≤30岁、＞ 30～ 35岁、＞35岁3组；未妊娠接受第2次IVF - ET治疗共71个周期的临床资料进行自身对照分析.结果:第1周期治疗中,≤30岁组、＞ 30～35岁组优质胚胎率和妊娠率均高于＞35岁组,周期取消率低于＞35岁组；第2周期调整COH方案可以获得正常的卵巢反应；对于卵巢低反应的高龄 患者,小剂量的生长激素可以增加其优质胚胎率.结论:在COH方案中,部分卵巢低反应患者存在卵巢反应的不一致性,应结合既往超排经历重新评估卵巢储备.%Objective: To explore clinical characteristics of women with poor ovarian response in controlled ovarian hyperstimu-lation ( COH) during in vitro fertilization and embryo transfer (IVF - ET) and the outcome of retreatment. Methods: A retrospective study was conducted on 189 women who had ever had poor response in the first cycle of IVF - ET. Women were divided into three groups according to their ages: group A ( less than 30 years old) , B (30 to 35 years old) , and C ( more than 35 years old). A total of 71 women who failed to get pregnant received treatment again. Results; In the first treatment cycle,
IVF - ET中卵巢低反应临床资料分析及再次治疗策略
