Fan M J, Tian C, Chang L, Wang X Y, Li R
Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
Zhonghua Fu Chan Ke Za Zhi. 2018 Nov 25;53(11):755-760. doi: 10.3760/cma.j.issn.0529-567x.2018.11.005.
To compare differences of clinical factors related to early pregnancy loss between invitro fertilization-embryo transfer (IVF-ET) treatment and natural pegnancy. A retrospective analysis was performed on the 363 cases of early pregnancy loss between Dec. 2015 to May 2016 in Peking University Third Hospital, during which 173 cases were after IVF-ET treatment (IVF-ET group) , and others were natural pregnancies (natural group) . The average age in IVF-ET group was significantly higher than that in the natural group [ (34.1±4.3) versus (31.8±4.1) years old, 0.01]. The terminating time of pregnancy loss in IVF-ET group was short than that in the natural group [ (59.8±9.2) versus (69.9±11.1) days, 0.01]. The incidence of embryo abnormal chromosome in IVF-ET group was significantly lower than that in the natural group [57.2% (99/173) versus 74.2% (141/190) , 0.01], during which abnormal chromosome numbers were the most common. The pregnancy loss of early pregnancy is mainly caused by chromosome abnormality. The proportion of chromosome abnormality in early pregnancy loss after IVF-ET is not higher than that of natural pregnancy, indicating that there are relatively reliable gametes and embryo safety in IVF treatment.
比较体外受精-胚胎移植(IVF-ET)治疗与自然妊娠早期流产相关临床因素的差异。对北京大学第三医院2015年12月至2016年5月期间的363例早期流产病例进行回顾性分析,其中173例为IVF-ET治疗后(IVF-ET组),其余为自然妊娠(自然组)。IVF-ET组的平均年龄显著高于自然组[(34.1±4.3)岁对(31.8±4.1)岁,P<0.01]。IVF-ET组流产终止时间短于自然组[(59.8±9.2)天对(69.9±11.1)天,P<0.01]。IVF-ET组胚胎染色体异常发生率显著低于自然组[57.2%(99/173)对74.2%(141/190),P<0.01],其中染色体数目异常最为常见。早期妊娠流产主要由染色体异常引起。IVF-ET后早期妊娠流产中染色体异常的比例不高于自然妊娠,表明IVF治疗中有相对可靠的配子和胚胎安全性。