首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >The different impact of stimulation duration on oocyte maturation and pregnancy outcome in fresh cycles with GnRH antagonist protocol in poor responders and normal responders
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The different impact of stimulation duration on oocyte maturation and pregnancy outcome in fresh cycles with GnRH antagonist protocol in poor responders and normal responders

机译:在不良反应者和正常反应者中,GnRH拮抗剂方案在新鲜周期中刺激持续时间对卵母细胞成熟和妊娠结局的不同影响

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ObjectiveTo study the impact of stimulation duration on intracytoplasmic sperm injection (ICSI) - embryo transfer (ET) outcome in poor and normal responders during controlled ovarian stimulation using gonadotropin-releasing hormone (GnRH) antagonist protocol.Materials and methodsThis is a retrospective cohort study. There were 1481 women undergoing ICSI-ET cycles. Women with ovum pick-up number ≤3 were defined as poor responders (n?=?235), and those with a number ≥4 were normal responders (n?=?1246).ResultsThe mean stimulation duration was shorter in poor responders with pregnancy group as compared with normal responders with pregnancy group (7.8?±?2.2 vs. 9.2?±?1.6 days, p?
机译:目的研究促性腺激素释放激素(GnRH)拮抗剂方案在控制性卵巢刺激过程中,刺激时间对不良和正常反应者胞浆内精子注射(ICSI)-胚胎移植(ET)结果的影响。材料和方法这是一项回顾性队列研究。有1481名妇女经历了ICSI-ET周期。卵子吸收数≤3的妇女被定义为不良反应者(n≥235),而卵数≥4的妇女则是正常反应者(n≥1246)。妊娠组与妊娠组正常应答者相比(7.8?±?2.2 vs. 9.2?±?1.6天,p?<?0.01)。刺激持续时间最短(≤6天)的不良反应者的活产率更高(≤6天:33.3%; 7-8天:20.0%; 9-10天:15.9%;≥11天:11.1%, p≥0.18)。刺激持续时间最短(≤6天)的正常应答者的活产率最低(≤6天:28.6%,7-8天:35.8%,9-10天:33.6%和≥11天:29.3%, p≥0.61)。刺激持续时间≤6天组的卵母细胞成熟率显着降低(≤6天:67%,7-8天:80%,9-10天:85%和≥11天:87%,p≥0.02结论在ICSI-ET周期中,无论是弱反应者还是正常反应者,刺激时间似乎对卵母细胞成熟度,临床妊娠率和活产率都有不同的影响。

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