Effect of ultrasound endometrium pattern at the day of hCG administration on clinical outcome in patients undergoing in vitro fertilization and embryo transfer
10.3760/cma.j.issn.1004-4477.2014.04.013
- VernacularTitle:经阴道超声子宫内膜分型对体外受精-胚胎移植妊娠结局的预测价值
- Author:
Yanyu ZHAO
;
Ying LIU
;
Jun ZHANG
;
Xiaokun YANG
;
Yanmin MA
;
Shuyu WANG
;
Chanwei JIA
- Publication Type:Journal Article
- Keywords:
Endosonography;
Endometrium;
Fertilization in vitro;
Embryo transfer;
Implantation rates;
Pregnancy rate
- From:
Chinese Journal of Ultrasonography
2014;23(4):325-328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prediction value of ultrasound endometrial pattern at the day of hCG administration on clinical outcome in patients undergoing in vitro fertilization-embryo transfer (IVF-ET).Methods 679 cycles of IVF-ET conducted between January 2011 and December 2012 in Beijing Obstetrics and Gynecology Hospital were reviewed retrospectively.All cycles were divided into three groups based on the endometrial pattern measured on the hCG day:group A (n =411) with triple line endometrium,group B (n =228) with no obvious triple line endometrium,group C (n =40) with homogeneous hyperechoic endometrium.Clinical outcomes such as implantation rate,pregnancy rate and miscarriage rate were analyzed.Results Among three groups,the implantation rates were 27.05%,20.33%,19.57%,respectively (x2 =9.04,P =0.01); the pregnancy rates were 34.31%,25.00%,12.50%,respectively (x2 =12.20,P =0.00).The implantation rate and pregnancy rate in group A were higher than the other two groups (P <0.05).The miscarriage rates were 16.31%,19.30%,40.00%,respectively(P > 0.05),there were no significant difference among them.Conclusions The ultrasound endometrium pattern on the day of hCG administration has predictive value on clinical outcome in patients undergoing in vitro fertilization-embryo transfer.