一个队列中的卵细胞退化会对传统试管婴儿周期的临床结果产生不利影响:一种倾向性得分匹配研究
Lanlan Liu1,2, Xiaoming Jiang1, Zhenfang Liu1
1Reproductive Medicine Center, The Affiliated Chenggong Hospital of Xiamen University, Xiamen, China.
Frontiers in endocrinology
|June 5, 2023
概括
传统体外受精 (IVF) 周期中的卵细胞退化会对胚胎发育和累积活产率产生负面影响. 这一发现强调了卵细胞质量对成功体外受精结果的重要性.
科学领域:
- 生殖医学 生殖医学
- 胚胎学 胚胎学
- 在体外受精 (IVF)
背景情况:
- 卵细胞退化主要记录在细胞体内精子注射 (ICSI) 周期中.
- 关于卵细胞退化对传统试管婴儿临床结果的影响的数据有限.
研究的目的:
- 为了研究卵细胞退化和在常规试管婴儿中兄弟胚胎发育之间的关联.
- 确定卵细胞退化是否会影响常规试管婴儿的临床结果,包括累积活产率 (CLBR).
主要方法:
- 追溯性研究比较患有 (DEG组) 和没有 (NONDEG组) 卵细胞退化症的患者.
- 倾向性得分 (PS) 与混因素的控制匹配.
- 多变量逻辑回归分析,以评估对CLBR的影响.
主要成果:
- 虽然DEG组的卵细胞产量更高,但关键的胚胎发育指标 (受精率,高质量的胚胎率,胚胎细胞形成) 显著下降.
- 临床结果,如新鲜胚胎移植活产率相似,但在DEG组中,整体CLBR显著降低.
- 多变量分析证实,卵细胞退化在传统试管婴儿中对CLBR产生不利影响.
结论:
- 在传统的试管婴儿周期中,卵细胞退化与受损的兄弟胚胎发育潜力有关.
- 卵细胞退化的存在会对整体临床结果产生负面影响,特别是累积活产率.
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