解锁成功:在试管婴儿患者中,在正常反应的试管婴儿患者中,为叶阶段刺激提供最佳的淋巴腺素起点
Xinyu Nie1,2, Qi Wang1,3, Mengmeng Xu4
1Reproductive Medicine Center, Prenatal Diagnosis Center, First Hospital of Jilin University, Changchun, Jilin, People's Republic of China.
International journal of women's health
|September 26, 2025
概括
在晚期黄体阶段 (LPS) 开始淋巴腺素 (Gn) 刺激对体外受精 (IVF) 患者以正常的卵巢反应 (NOR) 是最佳的. 与LPS早期或中期相比,这种时间改善了高质量的胚胎率和临床结果.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 在体外受精过程中受精.
背景情况:
- 质阶段刺激 (LPS) 是体外受精 (IVF) 中的卵泡阶段刺激 (FPS) 的替代方案.
- 确定在正常卵巢响应 (NOR) 患者的LPS中启动淋巴腺素 (Gn) 的最佳时间对于最大限度地提高治疗疗效至关重要.
研究的目的:
- 为了确定在质阶段刺激 (LPS) 协议中给予淋腺素 (Gn) 的最佳起点.
- 为了比较不同Gn启动时间在LPS和传统的卵泡阶段刺激 (FPS) 在NOR患者接受试管婴儿/细胞内精子注射 (ICSI) 的疗效.
主要方法:
- 从2021-2023年对199次试管婴儿/ICSI周期进行了回顾性分析.
- 患者被分为FPS (n=121) 和LPS (n=78) 组.
- 为了对结果进行比较分析,LPS组进一步分为早期,中期和晚期GN启动子组.
主要成果:
- 晚期LPS小组与早期LPS小组相比,显示出高质量的胚胎的比例明显高.
- 临床怀孕和活产率在LPS后期组略高于LPS早期和中期子组.
- 晚期LPS组的结果与传统FPS协议所取得的结果相似.
结论:
- 在晚期的质期启动Gn刺激是NOR患者接受试管婴儿的最佳策略.
- 这种时间似乎提高了LPS协议中的胚胎质量和临床结果.
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