期刊文献+

辅助生殖技术中促性腺激素释放激素拮抗剂用于卵巢反应不良患者的临床结局 被引量:3

下载PDF
导出
摘要 目的比较促性腺激素释放激素拮抗剂(GnRH-Ant)与激动剂(GnRH-a)对卵巢反应不良患者的体外受精胚胎移植(IVF-ET)临床结局,以寻求更为适合的促排卵方案。方法研究对象为前次IVF-ET治疗失败,并证明是卵巢反应不良而要求再次IVF-ET治疗的患者,其中58个周期使用GnRH拮抗剂方案,60个周期使用GnRH激动剂短方案,将两组周期取消率、Gn使用天数和剂量、获卵数、周期妊娠率、胚胎种植率等进行比较。结果两组患者的平均Gn使用天数和剂量、获卵数、临床妊娠率、胚胎种植率等比较差异均有显著性(P<0.05)。两组周期取消率无显著性差异(P>0.05)。结论GnRH拮抗剂超排卵,对卵巢反应不良的患者是一种有效的超排卵治疗方案,可以提高IVF-ET的临床妊娠率和胚胎种植率。
出处 《微创医学》 2009年第6期657-659,共3页 Journal of Minimally Invasive Medicine
  • 相关文献

参考文献7

二级参考文献41

  • 1Kailasam C, Keay SD, Wilson p, et al. Defining poor ovarian response during IVF cycles, in women aged 40years, and its relationship with treatment outeome[J].Hum Repro,2004,19(17):1 544~ 1 547.
  • 2Ben-Rafael Z, Bider D, Dan U, et al. Combined gonadotropin releasing hormone agonist/human menopausal gonadotropin therapy (GnRH/HMG) in normal high and poor responder to hMG[J] .J in Vitro Fert Embryo Transt,1991,8(1) :33.
  • 3Faddy MJ, Gosden RG, Gougen A, et al . Accelerated disappearance of ovarine follicles in mid-life: implication for forescasting menophause[J]. Hum Reprod,1992,7(10): 1 342~ 1 346.
  • 4Keay SD, Liversedge NH, Mathur RS, et al. Assisted conception following ovarian response to gonadotrophin[J]. Br J Obstet Gynaecol, 1997, 104(5) :521 ~ 527.
  • 5Keay SD, Barlow R, Eley A, et al The relation between immuoglobulin Gantibodies to chlamydia trachomatis and poor ovarian response to gonadotrophin stimulation before in vitro fertilazition[J]. Fertil Sertil, 1998,70(2):214 ~ 218.
  • 6Tanbo T,Abyholm T, Bjoro T,et al. Ovarian stimulation in previous from in vitro fertilization: distinction of two groups of poor responders[J]. Hum Reprod,1990,5(7):811 ~ 815.
  • 7Smotrieh DB,W idra EA,Gindof PR, et al.Prognostic value 0 day 3 estradiol on IVF outcome[J]. Fertil Steril, 1995,64(6): 991 ~ 994,1 136~1140.
  • 8Ubaldi FM, Rienzi L, Ferrero S, et al. Management of poor responder in IVF[J]. Reprod Biomed Online.2005 , 10(2) :235 ~ 246.
  • 9Khalaf Y, EL-Ttoukhy T, Taylor A, et al. Increasing the gonadotrophin dose in the course of an in vitro fertilization cycle does not rectify an initial poor response. Eur, J Obstetric Gynecol[J]. Reprod Biol, 2002, 103(2): 146 ~ 149.
  • 10Klinkert ER, Broekmans FJ, Looman CW, et al. Expected poor responders on the basis of an antral follicle count do not benefit from a higher starting does of gonadotrophins in IVF treatment: a randomized controlled trial[J] .Hum Reprod,2005,20(3): 611~615.

共引文献45

同被引文献32

  • 1李洁,谭真,任姿,庄广伦.可控制性卵巢刺激治疗中促性腺激素释放激素激动剂降调节与卵巢过度抑制[J].生殖医学杂志,2007,16(5):306-308. 被引量:24
  • 2Soga T, Dalpatadu SL, Wong DW, et al. Neonatal dexamethasone expo- sure down-regulates GnRH expression through the GnIH pathway in fe- male mice [ J ]. Neuroscience,2012,218 : 56-64.
  • 3Blockee| C. Estradiol valerate pretreatment in GnRH-antagonist cycles [ J ]. Reprod Bio Med Online,2012,25 ( 2 ) : 223-224.
  • 4Garcia JE,Jones GS, Aeosta AA, et al. Human menopausal gonadotropin/hnman chorionie gonadotropin follicular maturation for oocyte aspiration: phase II, 1981 [J]. Fertil Steril, 1983,39,174-179.
  • 5Keay SD, Liversedge NH, Mathur RS, et al. Assisted conception following poor ovarian response to gonadotrophin stimulation[J]. Br J Obstet Gynaecol, 1997,104 : 521-527.
  • 6Ferraretti AP, La Marca A, Fauser BC, et al. ESHRE consensus on the definition of ' poor response' to ovarian stimulation for in vitro fertilization: the Bologna criteria[J]. Hum Reprod,2011,26:1616-1624.
  • 7Akman MA, Erden HE, Tosun SB, et al. Comparison of agonistic flare-up-protocol and antagonistic multiple dose protocol in ovarian stimulation of poor responders: results of a prospective randomized trial [J]. Hum Reprod, 2001, 16: 868-870.
  • 8Sehmidt DW, Bremner T, Orris JJ, et al. A randomized prospective study of microdose leuprolide versus ganirelix in in vitro fertilization cycles for poor responders [J]. FertilSteril, 2005,83:1568-1571.
  • 9Malmusi S, La Marca A, Giulini S, et al. Comparison of a gonadotropin-releasing hormone ( GnRH ) antagonist and GnRH agonist flare-up regimen in poor responders undergoing ovarian stimulation [ J ]. Fertil Steril, 2005, 84 ; 402-406.
  • 10De Placido G, Mollo A, Clarizia R, et al. Gonadotropin- releasing hormone ( GnRH ) antagonist plus recombinant luteinizing hormone vs. a standard GnRH agonist short protocol in patients at risk {or poor ovarian response[J]. Fertil Steril, 2006,85: 247-250.

引证文献3

二级引证文献18

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部