SARS-CoV-2 感染对人类胚胎发育和临床结果的影响:一项回顾性队列研究
Li Tian1, Yiting Sun1, Miaomiao Jia2
1Center of Assisted Reproductive Technology, Northwest Women and Children's Hospital, Xi'an, 710000, China.
BMC pregnancy and childbirth
|March 7, 2025
概括
在卵细胞获取之前的SARS-CoV-2感染没有影响胚胎发育. 然而,女性COVID-19感染对临床怀孕和活产率产生了负面影响,突出了接受生育治疗的女性的特定风险.
科学领域:
- 生殖医学 生殖医学
- 传染性疾病 传染性疾病
- 胚胎学 胚胎学
背景情况:
- SARS-CoV-2 感染对生育能力和胚胎发育的影响仍然是研究的关键领域.
- 在辅助生殖技术之前了解与COVID-19相关的潜在风险对于患者咨询和管理至关重要.
研究的目的:
- 评估SARS-CoV-2感染对进行体外受精 (IVF) 的夫妇胚胎发育和临床结果的影响.
主要方法:
- 对538对夫妇进行了回顾性分析,将受COVID-19影响的组 (n=157) 与对照组 (n=381) 相比较.
- 分析了一般特征,生育率,胚胎发育和临床结果的数据.
- 单独的分析检查了男性与女性SARS-CoV-2感染的影响.
主要成果:
- 两组之间没有观察到受精率,优质胚胎或胚胎形成的显著差异.
- 男性的SARS-CoV-2感染表明,IVF受精率下降的趋势.
- 女性的SARS-CoV-2感染与临床怀孕和活产率的减少显著相关.
结论:
- 在卵细胞获取之前的SARS-CoV-2感染似乎不会对胚胎发育的关键参数产生负面影响.
- 在卵细胞检索之前感染SARS-CoV-2的女性患者的临床结果明显较差.
- 这些发现强调了在生育治疗中考虑病毒感染的时间和性别特异性影响的重要性.
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