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精子百分比与小体和无法解释的体外受精失败之间的相关性
Chuyan Li1, Ya Ni2, Lingnv Yao3
1Center for Reproductive Medicine, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, 310013, China. chuyanlidr@yeah.net.
BMC pregnancy and childbirth
|January 11, 2024
概括
精子中小体的百分比与体外受精 (IVF) 失败有关. 这一发现可能有助于预测男性体外受精成功率.
科学领域:
- 生殖生物学 生殖生物学
- 安德罗学与人类学
- 在体外受精过程中受精.
背景情况:
- 无法解释的体外受精 (IVF) 失败是一个常见的临床挑战.
- 确定试管婴儿成功的预测因素对于患者的结果至关重要.
- 精子形态,特别是体特征,可能起到作用.
研究的目的:
- 为了研究与精子百分比与一个小的精子和不明原因的试管婴儿失败之间的相关性.
- 评估这种精子形态指数的诊断效果,以预测试管婴儿的结果.
主要方法:
- 引入了一种新的索引:小体的精子百分比.
- 评估了该指数与精子体功能 (体活性,体反应速度) 的关联.
- 利用接收器操作特征 (ROC) 曲线分析以确定试管婴儿失败的诊断值和切断点.
主要成果:
- 精子中小体的精子百分比增加与减少的体活性,体反应率和试管婴儿成功率相关 (P < 0.05).
- 与正常率相比,在受精率低的群体中,该指数显著更高 (P <0.05).
- 经过ROC分析,该指数的截止值为43.5%,预测试管婴儿失败的灵敏度为74.2%,特异性为95.3%.
结论:
- 精子中小体的百分比是无法解释的试管婴儿失败的重要预测因素.
- 这一指标显示了在体外受精成功的预后指数的潜力.
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