The effect of inflammation on the outcome of assisted conception in patients with endometriosis
10.3969/j.issn.1673-9701.2025.28.001
- VernacularTitle:炎症对子宫内膜异位症患者助孕结局的影响
- Author:
Wenxia LIU
1
;
Rusi LUO
1
;
Bijun WANG
1
;
Fangfang LIANG
1
;
Xiaodan WANG
1
;
Menglu JI
1
;
Jiaheng LI
1
;
Bingnan REN
1
;
Yichun GUAN
1
Author Information
1. 郑州大学第三附属医院生殖医学科,河南郑州 450052
- Publication Type:Journal Article
- Keywords:
Endometriosis;
Inflammatory marker;
In vitro fertilization;
Sperm injection;
Clinical pregnancy;
Live birth
- From:
China Modern Doctor
2025;63(28):1-4,22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To exploring the effect of inflammatory indicators on the outcome of assisted conception of in vitro fertilization/intracytoplasmic sperm injection(IVF/ICSI)in patients with ovarian endometriosis(OEM).Methods The study subjects were selected as the patients with OEM who received IVF/ICSI treatment at the Third Affiliated Hospital of Zhengzhou University from January 2019 to February 2024.Based on whether previous surgery for uterine endometriosis cyst removal had been performed,they were divided into non-surgery group(n=73)and surgery group(n=112).To explore the differences in inflammatory markers between two groups and to determine whether they have an impact on the outcome of assisted reproduction.Results The lymphocytes(L)and blastocyst formation rates of patients in surgery group were significantly higher than those in non-surgery group,platelet to lymphocyte ratio(PLR)and carbohydrate antigen 125(CA125)were significantly lower than those in non-surgery group(P＜0.05).There were no statistically significant differences in the clinical pregnancy rate and live birth rate between two groups of patients(P＞0.05).After adjusting for confounding factors,the results of multivariate Logistic regression analysis showed that L,PLR,and CA125 had no statistically significant impact on the clinical pregnancy rate and live birth rate(P＞0.05).Both maternal age and the number of embryos transferred exerted a certain influence on clinical pregnancy rates and live birth rates(P＜0.05),furthermore,the type of embryo transferred had a significant effect on clinical pregnancy rates(P＜0.05).Conclusion Compared with non-surgery group,surgery group had higher L level and lower PRL and CA125 levels,but these changes did not significantly affect clinical pregnancy or live birth outcomes in OEM patients undergoing IVF/ICSI assisted reproduction.
