首页|黄体酮软胶囊不同给药方案用于激素替代冻融胚胎移植黄体支持的临床结局比较

黄体酮软胶囊不同给药方案用于激素替代冻融胚胎移植黄体支持的临床结局比较

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目的 比较黄体酮软胶囊不同给药方案进行激素替代冻融胚胎移植中黄体支持的临床疗效。方法 对2019年1月至2021年12月期间在中南大学湘雅医院生殖中心行激素替代冻融胚胎移植的3 845例患者临床数据进行回顾性分析,纳入的所有患者黄体支持均采用阴道用黄体酮软胶囊联合口服地屈孕酮治疗,根据阴道用黄体酮软胶囊不同用法将其划分为两组:A组每次使用200 mg,每日3次,共1 858个周期;B组每次使用300 mg,每日2次,共1 987个周期,评估两组的临床治疗效果。结果 两组患者在年龄、不孕年限、体质量指数(BMI)、转化日子宫内膜厚度、转化日雌激素(E2)水平、转化日孕激素(P)水平、移植优胚占比等方面比较均无显著差异(P>0。05)o A、B两组患者的活产率分别是34。71%(645/1 858)和36。39%(723/1 987),而移植囊胚的临床妊娠率分别为52。3%(182/348)和55。37%(397/717),两组间比较均无显著性差异(P>0。05)。人绒毛膜促性腺激素(HCG)阳性率、流产率和异位妊娠率等两组间比较也均无显著性差异(P>0。05)。结论 冻融胚胎移植激素替代周期中,采用两种不同剂量不同频次的阴道用黄体酮软胶囊治疗作为黄体支持,能够达到相似的临床疗效。
Comparison of clinical outcomes of different administration regimens of progesterone soft capsules for luteal support in hormone replacement frozen-thawed embryo transfer
Objective:To compare the clinical efficacy of different administration regimens of progesterone soft capsules for luteal support in hormone replacement frozen-thawed embryo transfer.Methods:A retrospective analysis was conducted on the clinical data of 3 845 patients who underwent frozen embryo transfer with luteal support using progesterone soft capsules and dydrogesterone from January 2019 to December 2021.Patients were divided into two groups according to different usage of vaginal progesterone soft capsules:Group A with 200 mg of three times daily doses and Group B with 300 mg of twice daily doses.The treatment outcomes of the two groups were evaluated.Results:There were no significant differences in not only age,infertility duration,body mass index(BMI),but also endometrial thickness,serum estrogen levels and serum progesterone levels on the day of transfer between the two groups(P>0.05).The live birth rates in Groups A and B were 34.71%(645/1 858)and 36.39%(723/1 987)respectively,while the clinical pregnancy rates of the embryo transferred were 52.3%(182/348)and 55.37%(397/717)respectively,showing no significant differences between the two groups(P>0.05).There were also no statistically significant differences between the two groups in terms of human chorionic gonadotropin(HCG)positive rate,the abortion rate,and the ectopic pregnancy rate(P>0.05).Conclusions:In the hormone replacement cycle of frozen-thawed embryo transfer,two different doses and frequencies of vaginal progesterone soft capsule treatment can achieve similar effects as luteal support.

Progesterone soft capsulesFrozen-thawed embryo transferHormone replacement therapyLuteal phase support

李玉梅、何芳芳、刘冬娥

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中南大学湘雅医院生殖中心,长沙 410008

成都市锦江区妇幼保健院生殖中心,成都 610016

黄体酮软胶囊 冻融胚胎移植 激素替代 黄体支持

2024

生殖医学杂志
北京协和医院 国家人口计生委科学技术研究所

生殖医学杂志

CSTPCD
影响因子:1.24
ISSN:1004-3845
年,卷(期):2024.33(3)
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