本文選題：人絨毛膜促性腺激素注射時(shí)機(jī) + 改良超長方案��； 參考：《中國實(shí)用婦科與產(chǎn)科雜志》2015年10期

【摘要】：目的探討改良超長方案降調(diào)節(jié)超排卵過程中推遲注射人絨毛膜促性腺激素(HCG)的效果。方法回顧性分析2010年7月至12月在中信湘雅生殖與遺傳�？漆t(yī)院接受卵胞漿內(nèi)單精子注射(ICSI)助孕的不孕癥患者200例,均采用垂體超長方案降調(diào)節(jié),按照其與傳統(tǒng)注射HCG時(shí)機(jī)(有3個(gè)≥17mm卵泡)相比推遲的天數(shù)分組,比較各組的數(shù)據(jù)及其結(jié)局。結(jié)果所有周期注射HCG的時(shí)間均較傳統(tǒng)標(biāo)準(zhǔn)推遲2d及以上。推遲2d組147例,推遲3d組44例,推遲4d組7例。推遲3d組與推遲2d組比較,Gn量、天數(shù)、注射HCG日E2,≥18mm/≥14mm有上升趨勢(shì),HCG日最大卵泡直徑(24.27±1.56)mm,明顯大于推遲2d組;兩組均得到較好的妊娠率,推遲2d組62.41%,推遲3d組68.18%,其中推遲3d組的胚胎移植取消率明顯低于推遲2d組,而妊娠率明顯高于推遲2d組。結(jié)論在改良超長方案降調(diào)節(jié)中,在傳統(tǒng)注射HCG時(shí)機(jī)的基礎(chǔ)上,適當(dāng)推遲HCG注射時(shí)間可行,推遲3d注射HCG可以獲得更高的妊娠率。
[Abstract]:Objective to investigate the effect of delayed injection of human chorionic gonadotropin (HCG) in the process of hyper ovulation regulation by modified super long protocol. Methods from July to December 2010, 200 infertile patients who received ICSI (intracytoplasmic sperm injection) in Citic Xiangya Reproductive and genetic Hospital were analyzed retrospectively. According to the number of days delayed compared with the traditional timing of HCG injection (3 鈮，

本文編號(hào)：1899347