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目的:了解基础窦卵泡计数等临床资料对IVF-ET妊娠结局的预测作用。方法:回顾性分析757名进行IVF-ET助孕术患者临床资料,比较妊娠组和非妊娠组患者AFC、基础FSH、年龄等指标的差异,通过ROC曲线下面积对各个指标的预测作用进行评估比较。结果:和未妊娠组患者相比,妊娠组患者的一般情况无明显差异,但总AFC稍高。各个指标中,两原核数的AUC值最高,总AFC的AUC值高于基础FSH和年龄。结论:各个指标对妊娠结局的预测作用均比较弱,应联合多个指标对患者生育能力和妊娠结局进行综合评估,但总AFC的预测价值要高于基础FSH和年龄。
Objective: To understand the clinical data of basal antral follicle count and predict the outcome of IVF-ET pregnancy. Methods: The clinical data of 757 patients undergoing IVF-ET assisted pregnancy were retrospectively analyzed. The differences of AFC, basal FSH, age and other factors between pregnant women and non-pregnant women were compared. The predictive value of each index was evaluated by the area under ROC curve Compare Results: There was no significant difference in general condition between pregnant women and non-pregnant women, but the total AFC was slightly higher. In each index, the AUC value of the two original nuclei was the highest, and the AUC value of the total AFC was higher than the basic FSH and the age. CONCLUSION: The predictive value of each index on pregnancy outcome is relatively weak. The combination of multiple indicators should be used to evaluate the patients’ fertility and pregnancy outcome. However, the predictive value of total AFC is higher than that of basic FSH and age.