自体血小板丰富血用于辅助生殖
Dennis Vaidakis1, Michail Papapanou2,3, Charalampos S Siristatidis4
1Department of Basic and Clinical Sciences, Medical School, University of Nicosia, Nicosia, Cyprus.
The Cochrane database of systematic reviews
|April 29, 2024
概括
富血小板血 (PRP) 对于辅助生殖的有效性和安全性仍然不确定. 需要更多高质量的研究来确定子宫内或卵巢内PRP是否改善不孕妇女的活产率.
科学领域:
- 生殖医学 生殖医学
- 辅助生殖技术 (ART) 是一种辅助生殖技术.
- 血小板丰富血 (PRP) 治疗疗法
背景情况:
- 自生血小板丰富血 (PRP) 涉及从患者自己的血液中缩血小板.
- 以前的研究表明,子宫内或卵巢内PRP可能会增强子宫内膜受体和卵巢对ART的反应.
- 本研究将PRP干预措施与标准治疗,安慰剂或其他方法进行比较.
研究的目的:
- 评估子宫内和卵巢内PRP输液/注射的有效性和安全性.
- 评估PRP对接受辅助生殖技术 (ART) 周期的不育妇女的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 在多个数据库 (Cochrane,CENTRAL,MEDLINE,Embase,Epistemonikos) 进行了搜索,截至2023年1月.
- 包括将子宫内/卵巢内PRP与没有干预,安慰剂或接受IVF或ICSI的妇女的其他治疗方法进行比较的RCT.
主要成果:
- 包括12个与1069名女性参与的RCT;证据的确定性大多非常低.
- 宫内PRP显示活产 (OR 1.10) 和流产 (OR 0.96) 的证据确定性非常低,而在植入失败的妇女中没有干预.
- 所有研究的综合分析表明,很低的确定性证据表明活产的改善 (OR 2.38) 但也可能增加了子宫内PRP的早产风险 (OR 8.02).
结论:
- 宫内或卵巢内PRP对不孕妇女ART结果的影响尚不确定.
- 聚合结果需要谨慎的解释,因为证据的确定性非常低,并包含的试验的局限性.
- 需要进一步进行高质量的研究,解决诸如小样本大小,报告偏差和安全数据等局限性.
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