下血瘤的发生率和辅助生殖技术的促成因素 - 一个回顾性队列研究
Wei Wei1, Xue Chang Qiu1, Ni Tang1
1Center of Reproductive Medicine, Guangzhou Women and Children's Medical Center-Liuzhou Hospital, Liuzhou, Guangxi, China.
Frontiers in medicine
|May 8, 2025
概括
胚胎移植 (ET) 后,特别是新鲜的试管婴儿-ET后,腹腔下血瘤 (SCH) 更常见,但不会影响怀孕结果. 高质量的胚胎与SCH发生相反相关.
科学领域:
- 生殖医学 生殖医学
- 产科 产科 产科 产科 产科
- 不孕症研究 不孕症研究
背景情况:
- 腹腔下血瘤 (SCH) 是怀孕早期的一个常见并发症.
- SCH的发病率可能因受孕方法而异,包括辅助生殖技术 (ART) 和自然受孕.
研究的目的:
- 调查不同ART方法中SCH的发生率:IVF-ET (新鲜),IVF-FET,PGT-FET,AIH和自然怀孕 (NP).
- 确定导致SCH发展的因素及其对怀孕结果的影响.
主要方法:
- 追溯队列研究,包括来自IVF新生ET,IVF-FET,PGT-FET,AIH和NP组的患者.
- 跨组SCH发病率和怀孕结果的比较.
- 多变量分析以确定与SCH发生相关的因素.
主要成果:
- 与AIH (12.95%) 和NP (13.02%) 相比,SCH的发生率在IVF新鲜ET (27.50%) 和IVF-FET (22.56%) 中最高.
- SCH发生与流产没有显著的关联,但与高质量的胚胎有负相关性.
- 胚胎移植 (ET) 似乎有助于SCH的发展,特别是新鲜的ET.
结论:
- 胚胎移植,特别是新鲜的IVF-ET,与下血瘤的发病率增加有关.
- 尽管发病率增加,但SCH似乎不会对妊娠结果产生负面影响.
- 高质量的胚胎可能会对SCH发育产生保护作用.
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