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单新鲜分裂胚胎移植中与来曲唑和自然周期相关的围产期结局及先天性异常:一项单中心、10年队列研究。

Perinatal outcomes and congenital anomalies associated with letrozole and natural cycles in single fresh cleaved embryo transfers: A single-center, 10-year cohort study.

作者信息

Takeshima Kazumi, Ezoe Kenji, Kawasaki Nami, Hayashi Hiroko, Kuroda Tomoko, Kato Keiichi

机构信息

Kato Ladies Clinic, Tokyo, Japan.

出版信息

F S Rep. 2022 Mar 6;3(2):138-144. doi: 10.1016/j.xfre.2022.03.001. eCollection 2022 Jun.

DOI:10.1016/j.xfre.2022.03.001
PMID:35789728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9250119/
Abstract

OBJECTIVE

To investigate and compare the safety of letrozole and natural cycles in fresh early embryo transfers.

DESIGN

A retrospective cohort study.

SETTING

A large fertility treatment center.

PATIENTS

Women who underwent natural and letrozole cycles during fresh early embryo transfer at Kato Ladies Clinic between January 2008 and December 2017.

INTERVENTIONS

None.

MAIN OUTCOME MEASURES

Perinatal complications and congenital anomalies.

RESULTS

No significant differences were observed in pregnancy complications, gestational age, birth weight, small for gestational age, large for gestational age, and congenital anomalies between the the women who underwent natural and letrozole cycles.

CONCLUSIONS

The perinatal outcomes and congenital anomaly rates associated with letrozole and natural cycles in fresh early embryo transfers were comparable. Therefore, our data support the safe use of letrozole in fresh early embryo transfers in assisted reproductive technology.

摘要

目的

探讨并比较来曲唑和自然周期在新鲜早期胚胎移植中的安全性。

设计

一项回顾性队列研究。

地点

一家大型生育治疗中心。

患者

2008年1月至2017年12月期间在加藤女士诊所接受新鲜早期胚胎移植的自然周期和来曲唑周期的女性。

干预措施

无。

主要观察指标

围产期并发症和先天性异常。

结果

接受自然周期和来曲唑周期的女性在妊娠并发症、孕周、出生体重、小于胎龄儿、大于胎龄儿和先天性异常方面未观察到显著差异。

结论

新鲜早期胚胎移植中来曲唑和自然周期相关的围产期结局和先天性异常率具有可比性。因此,我们的数据支持在辅助生殖技术的新鲜早期胚胎移植中来曲唑的安全使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/9250119/95509f628a29/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/9250119/95509f628a29/figs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4293/9250119/95509f628a29/figs1.jpg

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本文引用的文献

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Reprod Biol Endocrinol. 2021 Nov 26;19(1):172. doi: 10.1186/s12958-021-00859-1.
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Risk of foetal harm with letrozole use in fertility treatment: a systematic review and meta-analysis.来曲唑在生育治疗中使用致胎儿损害的风险:系统评价和荟萃分析。
Hum Reprod Update. 2021 Apr 21;27(3):474-485. doi: 10.1093/humupd/dmaa055.
3
来曲唑与自身整倍体囊胚自然周期冻融胚胎移植妊娠及新生儿结局的比较。
J Assist Reprod Genet. 2023 Apr;40(4):873-881. doi: 10.1007/s10815-023-02759-2. Epub 2023 Feb 28.
4
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