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单个欧卵母细胞移植后的活产率 带有和没有多核胚胎的单个欧卵母细胞移植
Diem Thi Yen1,2, Nguyen Thi Hue Giang2, Le Thi Quyen2
1Department of Histology and Embryology, Hanoi Medical University, Hanoi, Vietnam.
Medical archives (Sarajevo, Bosnia and Herzegovina)
|October 9, 2025
概括
在IVF中早期胚胎多核化与较低的euploidy和较高的马赛克率有关. 然而,具有这种特征的繁体胚胎仍然表现出与没有这种特征的胚胎相似的活产成功,这表明IVF结果的潜在可管理因素.
科学领域:
- 胚胎学 胚胎学
- 生殖医学 生殖医学
- 遗传学 是一个遗传学.
背景情况:
- 胚胎发育早期的多核化是体外受精 (IVF) 过程中常见的现象.
- 双细胞阶段多核化 (2MN) 对染色体健康和活产率的影响尚不清楚.
研究的目的:
- 为了确定2MN是否与植入前遗传测试 (PGT-A) 检测到的染色体异常相关.
- 评估2MN与单个幼胚胎移植后活产结果之间的关系.
主要方法:
- 一项前性研究涉及152名试管婴儿患者从2023年1月至12月.
- 卵细胞培养和监测使用时间间隔成像.
- PGT-A分析胚芽细胞,以评估染色体状况.
主要成果:
- 23.3%的胚胎显示为2MN.
- 与非多核化组相比,2MN组的euploidy率 (36.0%) 显著降低,马赛克主义率 (42.6%) 高于非多核化组 (46.3%和31.1%,分别).
- 转移欧胚胎后的活产率在2MN (62.3%) 和非多核 (61.8%) 组之间没有显著差异.
结论:
- 早期的多核化 (2MN) 与减少的胚胎繁体化和增加的马赛克主义有关.
- 来自2MN胚胎的欧体胚胎表现出与没有早期多核化的胚胎相似的活生生的潜力.
- 该研究对活产子结果的样本大小是一个局限性,需要进一步调查.
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