Liu Ning, Wang Yuhong, Lu Jing, Zhang Xihui, Zhang Yunjing, Zhao Haijun, Zhang Yijiao, Chang Wenliang
Department of Reproductive Medicine, Handan Central Hospital, Handan 056000, Hebei Province, China.
Evid Based Complement Alternat Med. 2022 May 18;2022:2842278. doi: 10.1155/2022/2842278. eCollection 2022.
The aim of this study is to explore the relevant factors affecting the pregnancy rate of frozen-thawed embryo transfer cycle.
The clinical data of 931 patients who underwent artificial cycle preparation for endometrial FET from April 2017 to November 2020 in the reproductive center of our hospital were retrospectively analyzed.
According to the pregnancy situation, the patients were divided into 450 cases of pregnancy and 481 cases of biochemical pregnancy. The univariate analysis of FET biochemical pregnancy showed that there were statistically significant differences between pregnancy and biochemical pregnancy in terms of years of infertility, age, endometrial thickness, P level, E2/P, and the number of high-quality embryos ( < 0.05). Multivariate analysis of pregnancy showed that age <30 years was a protective factor for biochemical pregnancy and endometrial thickness <8 mm and E2/P < 0.3 were risk factors ( < 0.05).
The regulation of endometrial thickness and E2/P serves as the key of treatment for patients undergoing FET using artificial cycle preparation for endometrial transfer, and it contributes to improve the pregnancy rate; also, the patient's age is an important indicator influencing the pregnancy rate.
本研究旨在探讨影响冻融胚胎移植周期妊娠率的相关因素。
回顾性分析2017年4月至2020年11月在我院生殖中心接受人工周期准备行子宫内膜冻融胚胎移植的931例患者的临床资料。
根据妊娠情况,将患者分为妊娠组450例和生化妊娠组481例。冻融胚胎移植生化妊娠的单因素分析显示,妊娠组与生化妊娠组在不孕年限、年龄、子宫内膜厚度、P水平、E2/P及优质胚胎数方面差异有统计学意义(P<0.05)。妊娠的多因素分析显示,年龄<30岁是生化妊娠的保护因素,子宫内膜厚度<8mm及E2/P<0.3是危险因素(P<0.05)。
对于接受人工周期准备行子宫内膜冻融胚胎移植的患者,调节子宫内膜厚度及E2/P是治疗关键,有助于提高妊娠率;患者年龄也是影响妊娠率的重要指标。