预测模型在促性腺激素促排卵后高序多胎种植中的应用
Use of a prediction model for high- order multiple implantation after ovarian stimulation with gonadotropins出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)
年 卷 期：2005年第1卷第6期
页 面：34-34页
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学]
主 题：促性腺激素 促排卵 预测模型 诱导排卵 体外受精 治疗周期 多胎妊娠 教学医院
摘 要：To determine prospectively the effectiveness in clinical practice of a prediction model for high- order multiple pregnancies (HOMP) (triplets or more). Prospective study. University teaching hospital. Eight hundred forty- nine consecutive infertile patients undergoing a total of 1,542 treatment cycles. Gonadotropin ovarian stimulation or induction of ovulation without IVF Observed and predicted overall pregnancy rates and the incidence of HOMP. The use of the prediction model (implying cancellation of all cycles at high risk for HOMP) would result in an 8% (95% confidence interval, 6.8% - 9.2% ) reduction of overall pregnancy rate but also in a 285% (95% CI, 279% - 291% ) reduction of HOMP. By using our prediction model, it was possible to maintain a low risk of HOMP with a good pregnancy rate in patients receiving gonadotropin ovarian stimulation or induction of ovulation without IVF.
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