摘要
目的探讨适合部分特殊不育患者的控制性超排卵方案。方法回顾分析2012年1月至2012年12月应用加长超长方案的患者共14例(降调不全患者8例,子宫内膜异位症患者6例),设同期的传统超长方案组及常规长方案组、改良超长方案组为对照组。结果子宫内膜异位症采用加长超长方案组与传统超长方案组相比,降调后的黄体生成素(LH)及雌二醇(E_2)水平较高;降调不全的加长超长方案组与常规长方案组及改良超长方案组比较,除了加长超长方案组的着床率较高外,其他临床观察指标无差异。结论对于已行卵巢巧克力囊肿剥除术的子宫内膜异位症患者巧克力囊肿复发的及部分降调不全的患者采用加长超长方案促排卵,在改善临床妊娠率的同时,能有效减少降调周期取消。
Objective： To investigate the clinical outcome of extended super-long down-regulation protocol for special infertile patients. Methods： The data of 14 patients undergone extended super-long down-regulation protocol from Jan. 2012 to Dec. 2012 were retrospectively analyzed. Meanwhile,the traditional super-long down-regulation protocol group, the conventional long down-regulation protocol group and the modified super-long down- regulation protocol group were served as control groups. Results： The LH and estradiol （E2） levels after down regulation were higher in the endometriosis patients received the extended super-long protocol than those in the traditional super-long protocol group. The clinical outcomes in the patients who had ever suffered incomplete down regulation and received the extended super-long protocol were not significantly different except higher implantation rate compared with conventional long down-regulation protocol group or the modified super-long down-regulation protocol group. Conclusions： The extended super-long down-regulation protocol can improve clinical pregnancy rate and reduce cycle cancelled rate in the patients with ovarian chocolate cystectomy or incomplete down- regulation.
出处
《生殖医学杂志》
CAS
2013年第10期766-770,共5页
Journal of Reproductive Medicine
