关键词: 冻融胚胎移植(FET), 临床妊娠, 年龄, 胎龄, 优胚数目

Abstract: Objective To investigate the factors in frozen-thawed embryo transfer (FET) cycles that affecting the pregnancy outcome. Methods The clinical data of 1 169 couples who underwent FET in Shenzhen Maternity and Child Healthcare Hospital from January, 2017 to December, 2019 were retrospectively analyzed. Univariate analysis and Logistic multivariate regression analysis were performed to identify the factors which influence pregnancy outcome of FET cycles. Results The clinical pregnancy rate of 1 169 FET cycles was 50.13%. Univariate analysis showed that female patients ＞35 years old or infertility duration ＞ 6 years significantly had a reduced embryo implantation rate and clinical pregnancy rate (P＜0.01). But the embryo implantation rate and clinical pregnancy rate were increased by blastocyst or multiple embryos transfer (P＜0.01). Multiple embryo transplantation increased embryo implantation rate (P＜0.05) and endometrial thickness ＞12 mm increased clinical pregnancy rate (P＜0.05). Logistic multivariat regression analysis showed that elder age and decreasing number of optimal embryo transplantation were risk factors for clinical pregnancy rate (P＜0.01). Conclusions Patients age, embryo age and the number of transplanted embryos of high quality are the main factors affecting the pregnancy outcome of FET. Elder age is a risk factor for clinical pregnancy outcome.

Key words: frozen-thawed embryo transfer(FET), clinical pregnancy, age, embryo age, number of embryos at high quality