国际生殖健康/计划生育 ›› 2017, Vol. 36 ›› Issue (4): 335-339.

• 综述 • 上一篇    下一篇

长效GnRHa在子宫内膜异位症合并不孕中的应用进展

赵影,颜磊   

  1. 250012  济南,山东大学(赵影,颜磊);山东大学附属生殖医院(颜磊)
  • 收稿日期:2017-05-02 修回日期:2017-06-08 出版日期:2017-07-15 发布日期:2017-07-15
  • 通讯作者: 颜磊,E-mail: yanleiandu@163.com E-mail:yanleiandu@163.com
  • 基金资助:
    国家自然科学基金(81571414)

Application of Long-term GnRHa in Endometriosis Associated with Infertility

ZHAO Ying,YAN Lei   

  1. Shandong University,Jinan 250012,China(ZHAO Ying,YAN Lei);Reproduction Hospital Affiliated to Shandong University,Jinan 250012,China(YAN Lei)
  • Received:2017-05-02 Revised:2017-06-08 Published:2017-07-15 Online:2017-07-15
  • Contact: YAN Lei, E-mail: yanleiandu@163.com E-mail:yanleiandu@163.com

摘要: 子宫内膜异位症(EMs)是一种常见妇科疾病,生育期妇女EMs发病率约10%~15%,高达50%的EMs患者伴有不孕。促性腺激素释放激素激动剂(GnRHa)是治疗EMs的常用药,可通过不同作用机制作用于下丘脑-垂体系统和子宫内膜。多数报道肯定了保守性手术术后GnRHa治疗在提高EMs合并不孕患者的妊娠率以及降低复发率上的疗效。在预防卵巢子宫内膜异位囊肿术后复发、缓解深部浸润型EMs疼痛方面,GnRHa也有一定的疗效。在治疗青春期EMs方面,多应用GnRHa联合激素反加疗法,以提高患者生活质量。GnRHa超长方案并不影响鲜胚移植的获卵数,冻胚移植前GnRHa预处理也可提高体外受精(IVF)成功率。

关键词: 子宫内膜异位症, 促性腺素释放激素, 不育, 女(雌)性, 生殖技术, 辅助, 妊娠率

Abstract: Endometriosis (EMs) is a common gynecological disease. The incidence of EMs in reproductive women is about 10% to 15%, and up to 50% of EMs patients are infertile. Gonadotropin releasing hormone agonists (GnRHa), commonly used in the treatment of EMs, act on the hypothalamus pituitary system and endometrium through different mechanisms. Most reports confirmed the efficacy of GnRHa treatment after conservative surgery in increasing the pregnancy rate and decreasing relapse rate in EMs patients with infertility. GnRHa can also play a certain role in preventing the recurrence of ovarian endometriosis and alleviating the pain of deep invasive endometriosis. GnRHa and hormonal reverse therapy are often applied to improve the life quality of patients with adolescent endometriosis. The prolonged GnRHa protocol don't affect the number of oocytes obtained in fresh embryo transplantation, and pretreatment with GnRHa could also increase the success rate of in vitro fertilization (IVF) before the frozen embryo transfer.

Key words: Endometriosis, Gonadotropin-releasing hormone, Infertility, female, Reproductive techniques, assisted, Pregnancy rate

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