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[排卵前低剂量孕酮给药对体外受精(IVF)和输卵管内配子移植(GIFT)结局的影响]

[The effect of low-dose pre-ovulatory progesterone administration on the outcome of in-vitro fertilization (IVF) and intra-tubal gamete transfer (GIFT)].

作者信息

Bernt W D, Pilka L, Sudik R, Texl P, Krzyzanowski A, Jirasková D, Fliess F R

机构信息

Klinik für Gynäkologie und Geburtshilfe, Wilhelm-Pieck-Universität Rostock, DDR.

出版信息

Zentralbl Gynakol. 1990;112(8):481-7.

PMID:2363319
Abstract

The influence of application of low-dose progesterone 4 hours before induction of ovulation by HCG on the outcome of IVF and GIFT was investigated in a bilateral study. The number of patients was 38 from both clinics for IVF and 36 for GIFT. With a pregnancy rate of 35.3% and 17.6% of ongoing pregnancies per transfer the results of the study are much better than before. The rather low number of patients and the low rate of transfers relativate these results. After GIFT an elevated abortion rate leads to only 11.1% ongoing pregnancies following a pregnancy rate of 33.3%. The effect of progesterone supplementation on the LH-peak and the endometrium should be further investigated to find new ways to increase success of IVF and GIFT treatment.

摘要

在一项双中心研究中,调查了在人绒毛膜促性腺激素(HCG)诱导排卵前4小时应用低剂量孕酮对体外受精(IVF)和配子输卵管内移植(GIFT)结局的影响。两个IVF诊所的患者人数均为38例,GIFT诊所的患者人数为36例。每次移植的妊娠率为35.3%,持续妊娠率为17.6%,该研究结果比以前要好得多。患者数量较少以及移植率较低使这些结果的说服力有所下降。GIFT后流产率升高,妊娠率为33.3%,持续妊娠率仅为11.1%。应进一步研究补充孕酮对促黄体生成素峰(LH-peak)和子宫内膜的影响,以寻找提高IVF和GIFT治疗成功率的新方法。

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