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目的 探讨治疗不孕症的新方法, 以提高不孕症治疗水平。方法 1- 超促排卵: 采用CC/HCG 方案、FSH/HCG方案、及接受卵子捐赠各1 例, 其余13 例采用GnRh-a/FSH/HCG方案。2-B超监测卵泡发育, 适时肌注HCG,36 小时后取卵。3- 取卵48 小时后选择高质量胚胎进行移植。结果 共穿刺卵泡224 个, 获卵152 个, 卵子回收率67-9% , 受精率89-5% , 卵裂率81-6% , 获生化妊娠2 例, 临床妊娠2 例, 临床妊娠率12-5% 。结论 体外受精与胚胎移植可作为输卵管性不孕的首选治疗。
Objective To explore a new method of infertility treatment to improve the treatment of infertility. Method 1 - Ovarian hyperstimulation: 1 case of CC / HCG, FSH / HCG and egg donation were used. The remaining 13 cases were treated with GnRh-a / FSH / HCG regimen. 2-B super-monitoring of follicular development, timely intramuscular HCG, 36 hours after ovulation. 3- Select the high quality embryos for transplantation 48 hours after oviposition. Results A total of 224 follicles were punctured, 152 oocytes were retrieved, the egg recovery rate was 67-9%, the fertilization rate was 89-5%, the cleavage rate was 81-6%, 2 biochemical pregnancies were obtained, 2 clinical pregnancies, and clinical pregnancy rate were 12 -5%. Conclusion In vitro fertilization and embryo transfer can be used as the first choice for tubal infertility.