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输卵管病变IVF患者生化妊娠相关临床特征:印度尼西亚单中心回顾性队列研究

Clinical Characteristics Associated with Biochemical Pregnancy Occurrence Among IVF Patients with Tubal Disorders: A Single-Centre Retrospective Cohort Study in Indonesia

PubMed · 辅助生殖临床 · Int J Womens Health (IF 未收录) · 文献 · 2026-10-31
Pertiwi IP, Syam HH, Achmad ED
DOI 10.2147/ijwh.s644133 · PMID 42985307 · 原文链接 ↗ · Scholar
综合 45.0 模型 45.0 · deepseek/deepseek-flash · 强度 low 未入选(阈值 60.0) 辅助生殖技术与临床结局 早期妊娠与流产 卵母细胞与卵泡生物学 子宫内膜与植入
新颖 35严谨 35影响 30领域相关 88转化 35

摘要

该研究为印度尼西亚万隆单中心回顾性队列,纳入2019年1月至2023年12月接受IVF的89例女性,通过电话随访获取血清β-hCG阳性结果以判定生化妊娠。结果显示生化妊娠40例(44.9%);女性年龄(p=0.033)、不孕年限(p<0.001)和AMH水平(p=0.003)与生化妊娠发生相关。在40例输卵管病变患者中,卵巢储备减退(p=0.031)、子宫肌瘤(p=0.038)和盆腔炎性疾病史(p=0.004)与生化妊娠相关。作者指出未行多变量校正,结果属探索性关联,需前瞻性多中心研究验证。

原文摘要

PURPOSE: Infertility is a complex reproductive health condition requiring individualized management. Although in vitro fertilization (IVF) has become an established treatment option, early pregnancy outcomes vary among patients due to differences in maternal, ovarian, uterine, and treatment-related characteristics. This study aimed to evaluate clinical characteristics associated with biochemical pregnancy occurrence among women undergoing IVF, with further evaluation among patients with documented tubal disorders. PATIENTS AND METHODS: This retrospective cohort study was conducted at the Infertility Clinic of Aster, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia. Women who underwent IVF between January 2019 and December 2023 were identified from clinical records and invited to participate. Biochemical pregnancy occurrence was defined as a positive serum β-human chorionic gonadotropin (β-hCG) result following IVF treatment, obtained through structured telephone interviews based on participants' reported results. Clinical characteristics were analyzed using Chi-square or Fisher's exact test for categorical variables and independent t-test or Mann-Whitney U-test for continuous variables, as appropriate. A p-value of <0.05 was considered statistically significant. RESULTS: Among 89 women included, biochemical pregnancy occurred in 40 patients (44.9%). Female age (p=0.033), duration of infertility (p<0.001), and AMH level (p=0.003) were associated with biochemical pregnancy occurrence. Among patients with tubal disorders (n=40), diminished ovarian reserve (p=0.031), uterine fibroids (p=0.038), and history of pelvic inflammatory disease (p=0.004) were associated with biochemical pregnancy occurrence. CONCLUSION: Several clinical characteristics were associated with biochemical pregnancy occurrence among women undergoing IVF. These findings should be interpreted as exploratory associations because multivariable adjustment was not performed. Further prospective multicenter studies with comprehensive IVF-related data are needed to validate these findings.

推荐理由:主题属辅助生殖临床结局核心范畴,但样本量小(n=89)、单中心回顾性设计、结局依赖电话自报且未做多变量校正,结论仅具探索性,对临床决策与实验室实践的增量有限。

关键词:IVF · 生化妊娠 · 输卵管病变 · AMH · 卵巢储备 · 回顾性队列

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条目 #62 · 入库 2026-11-08 11:43 · JSON · Journal Article