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促性腺激素释放激素激动剂与重组人绒毛膜促性腺激素在生育保存周期中的触发作用。

Gonadotropin-Releasing Hormone Agonist Versus Recombinant Human Chorionic Gonadotropin Triggering in Fertility Preservation Cycles.

机构信息

Sara Racine In Vitro Fertilization Unit, Lis Maternity Hospital, Tel Aviv, Israel.

Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Reprod Sci. 2021 Dec;28(12):3390-3396. doi: 10.1007/s43032-021-00622-2. Epub 2021 Jun 2.

Abstract

The purpose of this research is to study the efficacy of GnRH-a versus r-hCG triggering in patients who go through fertility preservation cycles. This retrospective cohort study was performed in a tertiary university-affiliated medical center. It includes 191 patients undergoing fertility preservation cycles between May 2013 and September 2018, in which ovulation was induced by either GnRH-a or r-hCG. Main outcome measures were number and rate of mature oocyte. Among treatment cycles with medical indication, GnRH agonist significantly increases the odds for high mature rate by 3.55 (1.30-9.66), while in treatment cycles with social indication, there is no significant effect of the triggering agent. An advantage for GnRH-a triggering was observed in medically indicated preservation cycles.

摘要

本研究旨在探讨 GnRH-a 与 r-hCG 触发在接受生育保存周期的患者中的疗效。这是一项在三级大学附属医院进行的回顾性队列研究。该研究纳入了 2013 年 5 月至 2018 年 9 月期间接受生育保存周期的 191 例患者,这些患者通过 GnRH-a 或 r-hCG 诱导排卵。主要观察指标是成熟卵母细胞的数量和成熟率。在有医学指征的治疗周期中,促性腺激素释放激素激动剂显著增加了 3.55 倍(1.30-9.66)的高成熟率的可能性,而在有社会指征的治疗周期中,触发剂没有显著效果。在有医学指征的保存周期中,GnRH-a 触发有优势。

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