9600个胚胎的分裂模式:不规则的分裂的重要性
Maya Shavit1,2, Daniel Gonen2, Yuval Atzmon1,2
1IVF Unit, Department of Obstetrics and Gynecology, Hillel-Yaffe Medical Center, Hadera 3810000, Israel.
Journal of clinical medicine
|September 9, 2023
概括
人类胚胎的不规则裂解 (IRC),在17.5%的病例中观察到,与男性因素有关,并影响了试管婴儿的成功. 早期或多次IRC事件会降低新生周期中的爆发和活产率.
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:
- 不规则裂变 (IRC) 是人类胚胎发育过程中观察到的现象.
- 了解IRC对体外受精 (IVF) 结果的影响对于改善治疗成功至关重要.
研究的目的:
- 调查人类胚胎中不规则裂解 (IRC) 的发生率.
- 评估IRC与各种患者和治疗特征之间的关联.
- 确定IRC对试管婴儿治疗结果的影响,包括怀孕和活产率.
主要方法:
- 一项前性观察性研究,涉及1001名妇女和1976名辅助生殖治疗.
- 对胚胎形态动力学进行分析,以识别和量化IRC事件.
- 统计评估IRC与患者人口统计,治疗变量和生殖结果之间的相关性.
主要成果:
- IRC的发病率为17.5%,其中35%发生在第一个细胞周期中.
- IRC与男性因子不育 (p=0.01) 和更高的细胞体内精子注射 (ICSI) 率 (p=0.01) 相相关.
- 早期或多次IRC事件的胚胎显示爆发率降低 (p=0.01),新周期临床怀孕率降低 (p=0.01),活产率降低 (p=0.04).
结论:
- 不规则切割事件的时间和数量是人类胚胎发育潜力的重要指标.
- IRC对关键的试管婴儿成功指标产生负面影响,特别是在新鲜胚胎移植周期中.
- 使用囊胚细胞的冷胚胎移植周期显示了与IRC存在无关的可比结果.
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