摘要
目的 针对促排卵中出现多卵泡发育及排卵障碍 ,采用卵泡刺破 (FP)及宫腔内人工授精 (IUI)治疗不孕症。方法 使用hMG或serophene +hMG/hCG等方案共 38个周期 ,阴道超声监测卵泡发育 ,对于多卵泡发育的患者 ,采用多余卵泡液及卵子吸出、卵泡刺破及宫腔内人工授精。对 1～3个卵泡发育但排卵障碍 ,亦予卵泡刺破及人工授精。结果 总的临床妊娠率 /周期为 31 6 % (12 / 38) ,A组、B组临床妊娠 /周期分别为 10 / 30、2 / 8,3例发生卵巢过度刺激综合征(2例妊娠 ) ,双胎 3例 ,无三胎发生。结论 对于促排卵多卵泡发育和排卵障碍 ,FP IUI是一个有效且较安全的方法。
Objective To increase the pregnancy rate after ovulation induction and anovulation by ultrasound monitoring. Methods Ovulation induction by hMG or serophene plus hMG/hCG was employed for 38 cycles. Follicle development was monitored by transvaginal ultrasonography. For the 30 cycles with multiple follicles development, redundant follicles were aspirated and the remaining underwent follicle puncturing and intrauterine insemination. For the 8 cycles with 1 to 3 follicle development and anovulation 36h after hCG injection, follicle puncturing and intrauterine insemination were performed. Results The clinical pregnancy rate per cycle was 31.6%. Conclusion Follicle puncturing combined with intrauterine insemination is an effective and safe choice for treating infertility of patients with multiple follicle development and anovulation.
出处
《安徽医科大学学报》
CAS
2003年第3期221-223,共3页
Acta Universitatis Medicinalis Anhui
关键词
不孕症
卵泡刺破
宫腔内
人工授精
治疗
insemination,antificial
ovulation induction
infertility, female/therapy
