治疗不孕症的生理性,选择氨酸的细胞内精子注射 (HABSelect):一个平行,两组的随机试验
David Miller1, Susan Pavitt2, Vinay Sharma3
1Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds Laboratories, University of Leeds, Leeds, UK.
Lancet (London, England)
|February 5, 2019
概括
与标准ICSI相比,使用 hialuronan 选择的生理 ICSI (PICSI) 并没有显著改善活产率. 这项研究表明,目前不建议在生育治疗中广泛使用PICSI.
科学领域:
- 生殖医学
- 在体外受精
- 精子选择
背景情况:
- 基于氨酸的精子选择 (PICSI) 旨在通过选择较低DNA损伤的精子来提高ICSI的成功率.
- PICSI可能会降低流产率,但它对活产率的影响仍然不确定.
研究的目的:
- 与标准ICSI相比,研究PICSI在接受生育治疗的夫妇中改善活产率的有效性.
主要方法:
- 一个平行,两组的随机对照试验,涉及英国16家生育诊所的2772对夫妇.
- 这些夫妇被随机分配 (1:1) 接受PICSI或标准ICSI与新鲜胚胎移植.
- 主要结局是满期活产的发生率 (≥37周怀孕).
主要成果:
- 在PICSI组 (27. 4%) 和标准ICSI组 (25. 2%) 之间没有显著的活产率差异.
- 使用PICSI与ICSI的活产概率为1. 12 (95% CI为0. 951. 34; p=0. 18).
- 严重的不良反应在各组之间是相似的,并非与治疗有关.
结论:
- 与标准ICSI相比,PICSI并没有显著改善生育率.
- 基于这些发现,目前不建议在生育治疗中更广泛地实施PICSI.
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