高级检索
    陈宁. 轻度宫腔粘连患者冻融胚胎移植周期宫腔内灌注EGF对改善妊娠结局的影响[J]. 徐州医科大学学报, 2021, 41(8): 603-606.
    引用本文: 陈宁. 轻度宫腔粘连患者冻融胚胎移植周期宫腔内灌注EGF对改善妊娠结局的影响[J]. 徐州医科大学学报, 2021, 41(8): 603-606.
    The effect of intrauterine EGF perfusion on improving pregnancy outcome in patients with mild intrauterine adhesions during frozen thawed embryo transfer[J]. Journal of Xuzhou Medical University, 2021, 41(8): 603-606.
    Citation: The effect of intrauterine EGF perfusion on improving pregnancy outcome in patients with mild intrauterine adhesions during frozen thawed embryo transfer[J]. Journal of Xuzhou Medical University, 2021, 41(8): 603-606.

    轻度宫腔粘连患者冻融胚胎移植周期宫腔内灌注EGF对改善妊娠结局的影响

    The effect of intrauterine EGF perfusion on improving pregnancy outcome in patients with mild intrauterine adhesions during frozen thawed embryo transfer

    • 摘要: 目的 探讨轻度宫腔粘连冻融胚胎移植周期宫腔内灌注EGF对改善妊娠结局的影响,及其寻找可能的分子机制。方法 选择2018 年 3月~2019年 9月于本中心轻度宫腔粘连患者,已行IVF助孕治疗,新鲜周期全胚冷冻,等待冻融胚胎移植的患者48例基金项目:江苏省自然科学基金(BK20171173)*通讯作者:bettyzhang10@163.com。随机分为对照组和实验组,对照组灌注生理盐水,实验组灌注表皮生长因子(EGF),分析比较两组患者子宫内膜厚度、分型、血流等情况,观察两组患者着床率、自然流产率、生化妊娠率、临床妊娠率等有无统计学差异。结果 接受宫腔灌注治疗后,实验组子宫内膜厚度(9.39±1.92mm)高于对照组(8.23±1.2mm)增加,差异有统计学意义(P<0.05)。实验组内膜分型较对照组有所改善,A型子宫内膜比例增加,差异无统计学意义( P>0. 05)。实验组子宫内膜下血流未见明显改善(P>0.05);随访过程中发现实验组着床率以及临床妊娠率均高于对照组,差异有统计学意义( P<0.05)。而早期流产率、多胎妊娠率以及异位妊娠率未见明显差异。结论 宫腔灌注EGF通过增加子宫内膜厚度,从而改善子宫内膜容受性,提高临床妊娠率,改善轻度宫腔粘连患者助孕结局。

       

      Abstract: ob<x>jectives: To evaluate the effect of intrauterine EGF perfusion on improving pregnancy outcome in patients with mild intrauterine adhesions during frozen thawed embryo transfer. Methods: A total of 48 patients with mid intrauterine adhesions waiting for frozen thawed embryo transfer in our center from March 2018 to September 2019 were recruited. All the patients have received treatment of IVF and frozen whole embryo in fresh cycle. Patients were divided into control group and test group randomly. The patients in control group were infused with normal saline and the patients in test group was infused with EGF. The thickness, type and blood flow of the endometrium, the implantation rate, spontaneous abortion rate, biochemical pregnancy rate and clinical pregnancy rate of the two groups were compared.Result: The thickness of endometrium in test group was higher than that in control group (9.39±1.92mm vs (8.23± 1.2mm, P<0.05 ). More type A endometrium was observed in test group. However, the difference was not statistically significant(P>0.05). No significantly changes were observed in the test group regarding to blood flow of the endometrium after treatment(P>0.05). Interestingly, the implantation rate and clinical pregnancy rate in the test group were higher than those in the control group during the follow-up(P<0.05). While, there was no significant difference in the rate of early abortion, multiple pregnancy and ectopic pregnancy.Conclusion: Intrauterine infusion of EGF can improve endometrial receptivity, clinical pregnancy rate and pregnancy outcome of patients with mild intrauterine adhesions by increasing endometrial thickness.

       

    /

    返回文章
    返回