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体外受精与胚胎移植:1163例妊娠异位妊娠发生率及危险因素的合作研究

In-vitro fertilization and embryo transfer: a collaborative study of 1163 pregnancies on the incidence and risk factors of ectopic pregnancies.

作者信息

Cohen J, Mayaux M J, Guihard-Moscato M L, Schwartz D

出版信息

Hum Reprod. 1986 Jun;1(4):255-8. doi: 10.1093/oxfordjournals.humrep.a136396.

DOI:10.1093/oxfordjournals.humrep.a136396
PMID:3558767
Abstract

In a multi-centric study undertaken on 1163 pregnancies obtained by in-vitro fertilization, a 5% risk of ectopic pregnancies was observed. This figure is certainly higher than that admitted for natural reproduction. After simultaneous adjusting for all variables in our data by means of a multiple logistic regression technique, two factors have specific influence: the therapeutic use of clomiphene citrate which increased the rate of ectopic pregnancies from 3 to 6% and the number of patent Fallopian tubes with a change in ectopic pregnancies rate from 3 or 4% (with 0 or 2 patent tubes) to 13% (with one patent tube). These results suggest various physiologic hypotheses as well as therapeutic considerations.

摘要

在一项针对1163例体外受精妊娠进行的多中心研究中,观察到异位妊娠风险为5%。这个数字肯定高于自然生殖公认的风险。通过多元逻辑回归技术对我们数据中的所有变量进行同时调整后,有两个因素具有特定影响:枸橼酸氯米芬的治疗性使用使异位妊娠率从3%提高到6%,以及输卵管通畅情况,异位妊娠率从3%或4%(0条或2条输卵管通畅)变为13%(1条输卵管通畅)。这些结果提示了各种生理假设以及治疗方面的考虑。

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Hum Reprod. 1986 Jun;1(4):255-8. doi: 10.1093/oxfordjournals.humrep.a136396.
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