在低卵细胞检索率的患者中,新鲜和冷解胚胎移植周期的比较
Hongzhi Shi1, Qi Song2, Jiajia Liu2
1Hongzhi Shi, Department of Reproductive Medicine, Maternity & Child Care Center of Qinhuangdao, Qinhuangdao 066000, Hebei, China.
Pakistan journal of medical sciences
|November 18, 2024
概括
对于35岁以下的卵子很少的女性,冷所有胚胎并使用冷胚胎移植 (FET) 提高了怀孕机会. 对于35岁以上的女性,建议进行新鲜胚胎移植,以减少成本和治疗周期.
科学领域:
- 生殖医学 生殖医学
- 在体外受精过程中受精.
- 胚胎移植策略 胚胎移植策略
背景情况:
- 低卵细胞检索率 (≤3个卵细胞) 在体外受精 (IVF) 中带来了挑战.
- 优化胚胎移植方案对于改善这些患者的妊娠结果至关重要.
研究的目的:
- 对于卵细胞产量有限的患者来说,研究最有效的胚胎移植策略.
- 为了比较新鲜胚胎移植 (FET) 与冷胚胎移植 (冷胚胎移植) 在低响应者中的结果.
主要方法:
- 从2018年1月到2022年12月,对IVF-ET和FET周期的回顾性分析.
- 包括202个新鲜周期和87个冷胚胎周期,这些周期来自3个卵子被取出的患者.
- 对患者人口统计,胚胎移植细节和临床怀孕率的统计分析.
主要成果:
- 新鲜和冷转移组之间的基线特征或胚胎参数没有显著差异.
- 先进的母亲年龄被确定为降低怀孕率的危险因素.
- 冷胚胎移植 (FET) 与显著增加的怀孕率有关.
结论:
- 对于35岁以下的患者,卵细胞检索量较低,建议采用结全部策略,然后进行FET.
- 对于35岁及以上的患者,可以选择新鲜胚胎移植,以尽量减少治疗周期和成本,而不会影响怀孕率.
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