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目的:探讨促排卵治疗中多卵泡发育者的处理方法。方法:对于克罗米酚(CC)或hMG促排卵中发生多卵泡发育的30例患者,分别随机采用IVF-ET(A组)或成熟卵泡刺破+多余卵泡抽吸+宫腔内人工授精(IUI)(B组)的方法进行处理。结果:A组取卵周期妊娠率为26.67%,移植周期妊娠率为36.36%,与本中心同期同年龄段行IVF-ET者相比无统计学差异;B组妊娠率为13.33%,皆为单胎妊娠;二组所有患者均未发生OHSS。结论:促排卵治疗中出现多卵泡发育时,行IVF-ET或成熟卵泡刺破+多余卵泡抽吸+IUI是积极、有效、安全的治疗方法。
Objective: To explore the treatment of ovarian follicles in the treatment of ovulation. Methods: Thirty patients with multi-follicle development in ovulation induced by clomiphene citrate (CC) or hMG were randomly divided into IVF-ET (group A) or mature follicular puncture + extra follicle aspiration + intrauterine insemination (IUI) (Group B). Results: The pregnancy rate of fetus in group A was 26.67% and the pregnancy rate in transplant was 36.36%, which was not significantly different from that of IVF-ET in the same age group in the same period. The pregnancy rate in group B was 13.33% Singleton pregnancies; no OHSS occurred in all patients in the two groups. Conclusions: IVF-ET or mature follicular puncture + extra follicular aspiration + IUI is an active, effective and safe treatment for multiple follicles in ovulation induction therapy.