中国实用妇科与产科杂志

中国实用妇科与产科杂志

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子宫内膜异位症辅助生殖技术预处理策略

舒黎，刘嘉茵   

  1. 作者单位：江苏省人民医院生殖中心，江苏 南京200019
  • 出版日期:2013-07-02 发布日期:2013-07-02

  • Online:2013-07-02 Published:2013-07-02

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摘要：

子宫内膜异位症(内异症）合并不孕症是辅助生殖技术重要的适应证之一，包括宫腔内人工授精（IUI）和体外受精（IVF）。因为病因不明、分期复杂和临床的异质性，在辅助生殖技术应用的适应证、诱导排卵方案、促性腺激素释放激素激动剂（GnRHa）应用、卵巢子宫内膜异位囊肿的预处理等方面存在争议。该文推荐了内异症不同年龄、卵巢储备状态、病期等条件下的助孕策略和促排卵方案的选择，强调标准化基础上的个体化治疗原则。

关键词: 子宫内膜异位症, 辅助生殖技术

Abstract:

Abstract：Endometriosis with infertility is one of the important indications of assisted reproductive medicine, including artificial uterine insemination(IUI) and in vitro fertilization ( IVF). Being unclear on etiology, complicated on types, and clinical heterogenesis for endometriosis, it is very controversial on indication, protocol, and GnRHa or ovarian chocolate cyst pre-treatment for assisted reproductive technology. Here we recommend the strategies and protocols for patients with endometriosis at different age, ovarian reserve, stages. A principal of individualized regimen based on conventional protocol is emphasized.

Key words: endometriosis, assisted reproductive technology

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