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Updated: Jun 3, 2025

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Human Egg Maturity Assessment and Its Clinical Application
Published on: August 19, 2019
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在接受试管婴儿的妇女中卵细胞成熟缺陷:对成熟的兄弟卵细胞结果的贡献因素和影响
Marga Esbert1,2, Andrés Reig3, Agustín Ballestros4
1IVIRMA Global Research Alliance, IVI Barcelona, 45 Mallorca, 08017, Barcelona, Spain. marga.esbert@ivirma.com.
Journal of assisted reproduction and genetics
|January 9, 2025
概括
响应较差的患者在试管婴儿中经常经历低卵细胞成熟率. 然而,不成熟卵子的比例不会影响成熟的兄弟卵子的结果,随后的周期显示成熟度有所改善.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 在体外受精 (IVF)
背景情况:
- 卵细胞成熟对于在IVF中成功受精至关重要.
- 识别与低成熟率相关的因素对于优化处理至关重要.
研究的目的:
- 确定与低卵细胞成熟率相关的人口和临床因素.
- 要确定未成熟卵子的比例是否会影响成熟的兄弟卵子的成功率.
主要方法:
- 对4826次第一次试管婴儿-ICSI周期 (2018-2022) 的分析.
- 将周期分为五组,根据第二阶段 (MII) 的卵细胞比例进行分类.
- 跨组的人口和临床结果的比较;对Null/Poor成熟组的后续周期结果的评估.
主要成果:
- 老年,较低的抗穆勒尔激素 (AMH) 和较高的FSH水平与零成熟群相关.
- 成熟的兄弟卵子在不同组之间,受精,可使用的母细胞囊,动质积分和活产率是可比的.
- 在初始成熟度为零/差的患者中,随后的循环显示成熟率显著改善 (47.0%对11.6%).
结论:
- 响应较差的人更有可能出现低卵细胞成熟率.
- 未成熟卵子的百分比不会对成熟的兄弟卵子的结果产生不利影响.
- 在最初的Null/Poor成熟率之后,随后的试管婴儿周期通常会导致卵细胞成熟的增强.
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