双触发器与性腺激素释放激素激素激素触发器用于选择性生育保护:一个随机对照试验
Valeria Donno1, Ana Raquel Neves2, Sandra García-Martinez3
1Dexeus Fertility, Department of Obstetrics Gynecology and Reproductive Medicine, Hospital Universitari Dexeus, Barcelona, Spain; Dexeus Mujer Foundation, Barcelona, Spain; Faculty of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain.
Fertility and sterility
|September 18, 2025
概括
添加人类胆性淋巴激素与淋巴激素释放激素激动剂 (GnRH-a) 进行生育保护,与单独的GnRH-a相比,没有增加成熟卵细胞. 患者和临床医生的偏好应指导触发方法的选择,以确保安全和方便.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 辅助生殖技术 辅助生殖技术
背景情况:
- 对接受可能影响生殖能力的治疗的妇女来说,保护生育能力至关重要.
- 优化卵细胞产量对于成功的生育保护结果至关重要.
研究的目的:
- 为了比较双触发剂 (GnRH-激动剂+人类胆管性腺激素) 与单独的GnRH-激动剂在获得成熟卵细胞以保持良好预后的患者的生育能力方面的疗效.
主要方法:
- 一个随机控制的优越性试验,涉及109名接受选择性生育保护的妇女 (≤40岁).
- 患者接受了受控的卵巢刺激,然后随机分配到双触发剂或单独的GnRH激动剂,用于最终的卵细胞成熟.
- 主要终点是检索的第二阶段 (MII) 卵子细胞的数量.
主要成果:
- 在双触发组 (7.31 ± 4.63) 和单独使用GnRH激动剂组 (7.94 ± 4.39) 之间检测到的MII卵细胞数量没有统计学上显著的差异.
- 触发后的卵细胞总产量和荷尔蒙水平在各组之间没有显著差异.
- 在这两组中都没有报告过卵巢过度刺激综合征的病例.
结论:
- 在预后良好的患者中,双触发剂在提高MII卵细胞产量时并不优于单独的GnRH激动剂.
- 选择触发策略时,应优先考虑患者的安全,方便和个人偏好.
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