严重男性因子不孕症对比Normozoospermia的夫妇的胚胎和临床结果
Phuong T B Le1, Trinh T T Nguyen1, Trang T H Dang2
1IVFMD Phu Nhuan, My Duc Phu Nhuan Hospital, Ho Chi Minh City, Viet Nam; HOPE Research Center, Ho Chi Minh City, Viet Nam.
European journal of obstetrics, gynecology, and reproductive biology
|January 18, 2024
概括
严重的男性因子不孕症会影响胚胎发育,但在细胞内质精子注射 (ICSI) 后不会影响活产率. 在这项研究中,精子质量没有影响累积的临床生育结果.
科学领域:
- 生殖医学 生殖医学
- 不孕症研究 不孕症研究
- 胚胎学 胚胎学
背景情况:
- 严重的男性因子不孕症在辅助生殖技术中构成了重大挑战.
- 内细胞质精子注射 (ICSI) 是男性不孕症的常见治疗方法.
- 了解男性因素对ICSI结果的影响对于患者咨询和治疗优化至关重要.
研究的目的:
- 为了比较患有严重男性因子不孕症的夫妇和接受ICSI的normozoospermic夫妇之间的胚胎和临床结果.
- 评估精子质量对受精,胚胎发育和活产率的影响.
主要方法:
- 一个多中心的,回顾性队列研究,涉及1296对夫妇接受ICSI.
- 参与者被分为严重的男性因子不孕症或诺莫动物精子症组.
- 主要结局是第一个ICSI周期后的累积活产率.
主要成果:
- 患有严重男性因子不孕症的夫妇显示出明显较少的胚胎,胚胎和冷胚胎数量.
- 在严重的男性因子和常态精子群体之间,在累积活产率上没有发现显著差异.
- 临床怀孕率,正在进行的怀孕率和流产率在两组之间是可比的.
结论:
- 严重的男性因子不孕症会对受精和早期胚胎发育产生负面影响.
- 尽管影响胚胎潜力,但精子质量不会影响ICSI后的累积临床生育结果.
- 这些发现表明,ICSI可以克服与男性因素相关的胚胎发育问题,以实现类似的活产率.
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