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辅助卵细胞激活在各种生殖问题的夫妇中的临床应用:系统性审查
Shayesteh Mehdinejadiani1, Nasim Goudarzi2, Fatemeh Masjedi3
1Department of Reproductive Biology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.
Reproductive sciences (Thousand Oaks, Calif.)
|August 21, 2024
概括
辅助卵细胞激活 (AOA) 可能有助于克服在细胞内精子注射 (ICSI) 周期中的受精失败. 然而,目前的证据不足以确认AOA的AOA.
科学领域:
- 生殖医学 生殖医学
- 辅助生殖技术 辅助生殖技术
- 不孕症研究 不孕症研究
背景情况:
- 内细胞质精子注射 (ICSI) 可以经历受精失败.
- 辅助卵细胞激活 (AOA) 技术被用来解决这个问题.
- 确切的患者群体和AOA的应用仍然不清楚.
研究的目的:
- 系统地审查生殖结果,比较ICSI与AOA (ICSI-AOA) 与传统的ICSI.
- 评估AOA在各种不孕不育情况下的有效性.
- 评估AOA在先前受精失败的情况下的作用.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,科学网,EMBASE和Scopus数据库的文献搜索 (直到2023年12月).
- 包括30项比较ICSI-AOA与传统ICSI在先前受精失败的夫妇中的研究.
主要成果:
- AOA可以克服受精失败,但成功率各不相同.
- 有效性受到精子相关和卵细胞相关因素的影响.
- 患者标准和样本大小的异质性限制了聚合分析.
结论:
- 大多数研究表明,AOA可以在ICSI中解决受精失败.
- 没有足够的证据,特别是来自RCT,来证实AOA的有效性和安全性.
- 需要进一步进行高质量的研究,以确定关于ICSI-AOA治疗策略的最终结论.
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