对男性因素的多变量分析和构建一个名谱来预测低体外受精率
Mengyuan Lin1,2, Yuwei Zhang3, Honghua Wang1
1Center of Reproductive Medicine, Women's Hospital of Jiangnan University, Wuxi, Jiangsu, China.
Heliyon
|April 16, 2024
概括
这项研究确定了关键的男性因素,包括精子的渐进性运动性,精子缩活性和精子度,作为IVF中低受精率的独立预测因素. 使用这些因素的诺米图可以预测高风险患者,引导他们走向ICSI,以改善试管婴儿的成功.
科学领域:
- 生殖医学 生殖医学
- 安德罗学与人类学
- 生物统计学 生物统计学
背景情况:
- 低受精率 (LFR) 和完全受精失败 (TFF) 是常规体外受精 (IVF) 的重大挑战.
- 确定LFR的预测因素对于优化试管婴儿结果和患者管理至关重要.
研究的目的:
- 对影响IVF受精率的男性因素进行多变量分析.
- 构建一个预测性名谱,用于识别患有LFR高风险的患者.
主要方法:
- 从2017年1月至2021年12月进行试管婴儿的2011对夫妇的回顾性分析.
- 单变量和多变量逻辑回归分析以确定LFR的独立风险因素.
- 开发和验证使用精子进步运动 (SPR),精子生素活性 (SAA) 和精子度 (SC) 的诺姆图.
主要成果:
- SPR,SAA和SC被确定为LFR的独立风险因素.
- 开发的LFR名图表在训练 (AUC=0.90) 和验证 (AUC=0.89) 队列中都显示出出色的预测准确性.
- 决策曲线分析证实了LFR名图的临床实用性和效率.
结论:
- SPR,SAA和SC是预测IVF中的LFR的关键男性因素.
- 低空飞行率 (LFR) 编号图是预测高低空飞行率风险的一个有价值的工具.
- 引导高风险患者进行细胞内精子注射 (ICSI) 可能会提高试管婴儿成功率.
相关概念视频
Infertility in Males
260
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
260
In Vitro Fertilization
255
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
255
Spermatogenesis
102.4K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.4K
Two-Way ANOVA
2.6K
The two-way ANOVA is an extension of the one-way ANOVA. It is a statistical test performed on three or more samples categorized by two factors - a row factor and a column factor. Ronald Fischer mentioned it in 1925 in his book 'Statistical Methods for Researchers.'
The two-way ANOVA analysis initially begins by stating the null hypothesis that there is an interaction effect between the two factors of a dataset. This effect can be visualized using line segments formed by joining the...
The two-way ANOVA analysis initially begins by stating the null hypothesis that there is an interaction effect between the two factors of a dataset. This effect can be visualized using line segments formed by joining the...
2.6K
Factorial Design
13.0K
Factorial Analysis is an experimental design that applies Analysis of Variance (ANOVA) statistical procedures to examine a change in a dependent variable due to more than one independent variable, also known as factors. Changes in worker productivity can be reasoned, for example, to be influenced by salary and other conditions, such as skill level. One way to test this hypothesis is by categorizing salary into three levels (low, moderate, and high) and skills sets into two levels (entry level...
13.0K
Infertility in Females
292
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
292


