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Cryopreservation of Preimplantation Embryos of Cattle, Sheep, and Goats
Published on: August 5, 2011
在体外受精后的累积受孕率和活产率
S L Tan1, P Royston, S Campbell
1Hallam Medical Centre, London, UK.
Lancet (London, England)
|June 6, 1992
概括
在体外受精 (IVF) 的成功率随着患者年龄的增长而下降,并因不孕症原因而异. 累积受孕率和活产率随着连续的治疗周期而下降,突出显示了试管婴儿结果中的年龄和不孕因素.
科学领域:
- 生殖医学 生殖医学
- 不孕研究 不孕研究 不孕研究
- 辅助生殖技术 辅助生殖技术
背景情况:
- 估计体外受精 (IVF) 的成功使用累积受孕和活产率,考虑到年龄和不孕症原因至关重要,但数据有限.
- 重复治疗周期对怀孕,活产和试管婴儿失败率的影响仍然不确定.
研究的目的:
- 评估患者年龄和不育原因对试管婴儿结果的影响.
- 在重复的试管婴儿周期中分析累积受孕率和活产率.
主要方法:
- 使用生命表方法,对2735名患者连续5055次试管婴儿周期的分析.
- 统计分析包括逻辑等级测试和逻辑回归来比较年龄和不孕症群体之间的比率.
主要成果:
- 每个周期的受孕和活产率随着年龄的增加显著下降 (p < 0.001).
- 在5个周期后,累计活产率为20-34岁的54%,35-39岁的28.9%,40岁以上的14.4%.
- 根据不孕不育原因 (p < 0.001) 的比例有显著差异,男性或多因素不孕不育的比例最低. 在34岁以上的妇女中,怀孕失败率增加 (p = 0.006).
结论:
- 患者的年龄和不育原因是影响试管婴儿成功率的重要因素.
- 每个周期的成功率随着相继的试管婴儿试验而下降,怀孕失败率随着母亲年龄超过34岁而增加.
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