【摘要】

    目的 探讨卵巢反应不良患者由IVF转做IUI的临床效果，并讨论卵巢反应不良的原因和治疗措施。

    方法 行IVF-ET治疗的患者，在控制超排卵治疗中发生卵巢反应不良由IVF转做IUI共6例。对卵巢反应不良者超排卵治疗至卵泡成熟，直径≥18mm卵泡至少2个，≥14mm卵泡4个以下时，注射HCG(绒毛膜促性腺激素)10000IU，24～36h后IUI治疗。

    结果 1例妊娠，妊娠率16.67%(1/6)。

    结论 在IVF周期超排卵治疗卵巢反应不良者中，至少有一侧输卵管正常的患者由IVF转做IUI是有效的，该方法是卵巢反应不良者治疗的另一种较好的选择。

    关键词 体外受精与胚胎移植 宫腔内人工授精 卵巢反应不良

    Analysis of clinical effect of converting an IVF cycle to IUI in poor responders

    Qin Aiping,Hang Fu,Li Liuming，et al.

    Center of Reproductive Medicine,First Affiliated Hospital of Guangxi Medical University,Nanning 530027.

    【Abstract】

    Objective To assess the utility of transforming an in vitro fertilization (IVF) cycle with poor ovarian response to an intrauterine insemination (IUI) cycle.

    Methods The inclusion women undergoing IVF because of male factor or IUI failure,with at least 1 normal fallopian tube.When ovarian stimulation occurred poor ovarian response,produced more than 2 follicles ≥18mm,less than 4 follicles ≥14mm,performed IUI approximately 24～36 hours after HCG administration.A total of 6 cases were analyzed.A case report. ......