在接受试管婴儿治疗的女性中结所有指示:一项队列研究
Véronique Moens1, Juan Fontes Jiménez2, Marcos Ferrando Serrano3
1Clínica Fertilab, Barcelona, Spain.
Reproductive biomedicine online
|March 13, 2025
概括
结全部策略在辅助生殖治疗中被广泛使用,主要用于植入前遗传测试和减轻卵巢过度刺激综合征风险. 这种方法表明,在生育护理中,累积怀孕率很高.
科学领域:
- 生殖医学 生殖医学
- 辅助生殖技术 辅助生殖技术
- 临床实践研究 临床实践研究
背景情况:
- 所有胚胎冷保存的冷策略在辅助生殖技术 (ART) 中越来越多地被讨论.
- 了解其临床实施和适应症对于优化生育治疗至关重要.
研究的目的:
- 评估结所有策略在临床实践中的普及程度.
- 确定在ART中实施这种方法的主要指示.
主要方法:
- 在西班牙24个ART中心进行了一项多中心的前性观察研究.
- 在2021年2月至2022年7月期间,包括了1034名接受体外受精 (IVF) 或细胞内精子注射 (ICSI) 的妇女.
- 随访持续到怀孕确认或冷保存后6个月.
主要成果:
- 在78.1%的患者中,采用了结所有策略.
- 关键的适应症包括计划的植入前遗传测试 (61.7%) 和卵巢过度刺激综合征的风险 (24.2%).
- 在第三次胚胎移植时,累计持续妊娠率达到62.9%.
结论:
- 结所有策略是研究队列中首选的方法.
- 计划的植入前遗传测试和预防卵巢过度刺激综合征是其使用的主要驱动因素.
- 这一策略与ART中有利的累积妊娠结果有关.
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