[Effect of Compound Xuanju Capsule on Pregnancy Outcomes of Frozen Embryo Transfer Under- going Release Surgery of Intrauterine Adhesion].

中国中西医结合杂志 Pub Date : 2017-04-01
Xiao-Jing Zhou, Li Tan, Fang Wang
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Abstract

Objective To observe the effect of Compound Xuanju Capsule (CXC) on pregnancy outcomes of frozen embryo transfer (FET) undergoing release surgery of intrauterine adhesion (IUA). Methods A total of 300 FET patients with mild to moderate IUA were randomized into the treatment group and the control group, 150 cases in each group. All patients received sequential therapy of estro- gen and progesterone after undergoing release surgery of lUA under hysteroscope. Patients in the treat- ment group additionally took CXC. FET treatment was performed after 3 cycles. Then the embryo implan- tation rate, clinical pregnancy rate, abortion rate, and ectopic pregnancy rate were compared between the two groups. Results The pregnancy rate in the treatment group was higher than that of the control group [47. 3% (71/150) vs. 34. 0% (51/150), P =0. 019]. The embryo implantation rate in the treatment group was 25. 4% (80/315) , higher than that of the control group [19. 6% (61/312) , P =0. 080 ]. The em- bro plantation rate and the clinical embryo implantation rate of moderate IUA patients were lowered, as compared with mild IUA patients in the same group (P < 0. 01, P <0. 05). Compared with the control group, the clinical pregnancy rate was elevated in moderate IUA patients of the treatment group (P < 0. 05). Conclusion CXC could improve endometrial receptivity and elevate the clinical pregnancy rate after undergoing release surgery of IUA.

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复方旋菊胶囊对冷冻胚胎移植宫内粘连解除术妊娠结局的影响。
目的观察复方旋菊胶囊(CXC)对冷冻胚胎移植(FET)解除宫内粘连(IUA)手术妊娠结局的影响。方法将300例轻中度IUA的FET患者随机分为治疗组和对照组,每组150例。所有患者在宫腔镜下行lUA释放手术后均接受序贯雌激素和黄体酮治疗。治疗组患者在治疗的基础上加服CXC。3个周期后进行FET治疗。比较两组患者胚胎着床率、临床妊娠率、流产率、异位妊娠率。结果治疗组妊娠率明显高于对照组[47]。3% (71/150) vs. 34%。0% (51/150), p =0。019]。治疗组胚胎着床率为25。4%(80/315),高于对照组[19]。6% (61/312), p =0。080]。中度IUA患者的胚胎着床率和临床胚胎着床率均低于同组轻度IUA患者(P < 0.05)。01, P
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