无症状白细胞和辅助生殖技术的结果:令人担忧的原因?
Marie-Christin Reich1, Natalie Heide1, Peter Humaidan1,2
1Skive Regional Hospital, Fertility Unit, Skive, Denmark.
概括
无症状白细胞精 (精液中的高白细胞) 似乎不会对辅助生殖技术 (ART) 的结果产生负面影响. 标准的ART程序和ICSI可能会减轻任何不良影响,使常规治疗不必要.
科学领域:
- 生殖医学 生殖医学
- 安德罗学与人类学
- 免疫学 免疫学 免疫学
背景情况:
- 白细胞精子缺血 (≥1×106WBC/毫升精液) 在不孕男性中很常见.
- 无症状白细胞精症对辅助生殖技术 (ART) 的影响尚不清楚.
- 激活的精子白细胞会导致氧化应激和精子损伤.
研究的目的:
- 审查关于无症状白细胞质精是否影响ART结果的证据.
- 评估治疗无症状白细胞精子症的必要性.
主要方法:
- 现有证据的叙述性审查.
- 综合元分析和回顾性研究.
主要成果:
- 无症状白细胞精子症似乎不会对ART结果 (受精,怀孕,活产) 产生负面影响.
- 精子制备技术和ICSI可能会中和潜在的负面影响.
- 由于缺乏益处和潜在危害,不建议进行常规治疗,特别是抗生素治疗.
结论:
- 目前的证据不支持在ART中例行治疗无症状白细胞质精.
- 建议进行个性化,基于证据的管理.
- 需要进一步研究检测方法和辅助疗法.
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