伊斯坦布尔共识更新:关于卵细胞和胚胎静态和动态形态评估的修订ESHRE/ALPHA共识†,‡
, Giovanni Coticchio1, Aisling Ahlström2
1IVIRMA Global Research Alliance, IVIRMA Italia, Rome, Italy.
Human reproduction (Oxford, England)
|April 27, 2025
概括
这份共识文件更新了评估卵细胞和胚胎形态的建议,为胚胎学家提供了评估生殖潜力的最佳实践,并对移植胚胎进行排名. 它结合了时间缩短技术的洞察力.
科学领域:
- 生殖医学 生殖医学
- 胚胎学 胚胎学
- 在体外受精 (IVF)
背景情况:
- 关于卵细胞和胚胎形态评估的先前共识是在2011年建立的.
- 时间间隔技术的进步需要更新的审查和修订的建议.
- 在胚胎培养和评估方面取得了十年的进展,需要当前的最佳实践.
研究的目的:
- 建立目前对卵细胞,卵胞和胚胎的形态评估的推标准.
- 根据形态,提供更新的胚胎转移排名指南.
- 将新的证据和技术纳入已建立的评估协议中.
主要方法:
- 一个由17名阿尔法生殖医学科学家和ESHRE专家组成的工作组提出了建议.
- 建议是基于对2011年伊斯坦布尔共识的系统文献搜索和重新评估.
- 利益相关者审查和ESHRE和Alpha执行委员会最终批准确保了共识.
主要成果:
- 更新后的共识文件提出了20个关于植入前发育事件和形态标准的建议.
- 提供了关于胚胎培养期间评估的频率和时间的具体指导.
- 建议涉及使用某些标准来分类与排名胚胎.
结论:
- 该文件为胚胎学家提供了关于评估卵细胞和胚胎质量的最佳实践的建议.
- 它强调了需要进一步研究特定形态标准的领域.
- 这些良好实践建议 (GPR) 作为教育指南,而不是严格的护理标准.
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