拉丁美洲的辅助生殖技术:拉丁美洲注册,2022年
Fernando Zegers-Hochschild1, Javier A Crosby1, Carolina Musri2
1Program of Ethics and Public Policies in Human Reproduction, Faculty de Medicine, University Diego Portales, Santiago, Chile; Unit of Reproductive Medicine, Clínica Las Condes, Santiago, Chile.
Reproductive biomedicine online
|December 7, 2025
概括
辅助生殖技术 (ART) 的使用在拉丁美洲非常不同. 单个胚胎转移和囊胚转移的增加显示出产率有所改善,但双胞胎出生和围产死亡率仍然令人担忧.
科学领域:
- 生殖医学 生殖医学
- 公共卫生 公共卫生
- 生物统计学 生物统计学
背景情况:
- 辅助生殖技术 (ART) 对于治疗不孕症至关重要.
- 了解ART有效性和安全性的区域趋势对于公共卫生倡议至关重要.
研究的目的:
- 分析2022年拉丁美洲ART干预的趋势和结果.
- 评估该地区各种ART程序的有效性和安全性.
主要方法:
- 对16个拉丁美洲国家的204所认可机构的基于周期的跨国数据进行了回顾性分析.
- 数据包括启动的周期,分娩,出生,孕产妇年龄,胚胎移植类型,受精技术和围产期结果.
主要成果:
- 各国对ART使用率的显著差异 (643.3至28.8周期/百万).
- 单个胚胎移植 (SET) 的使用增加到47.3%,胚胎细胞移植的使用增加到85.3%.
- 与冷胚胎移植 (FET) (25.2%) 相比,新鲜胚胎移植 (SET) (32.6%) 观察到更高的分娩率. 植入前遗传测试显示,在自主周期中,分娩率有所改善,流产率降低.
结论:
- 系统的,跨国数据收集对于ART的持续发展至关重要.
- 结果支持基于证据的生殖治疗决策.
- 需要持续监测ART结果,包括多胎和围产死亡率.
相关概念视频
Reproductive Cloning
Reproductive cloning is the process of producing a genetically identical copy—a clone—of an entire organism. While clones can be produced by splitting an early embryo—similar to what happens naturally with identical twins—cloning of adult animals is usually done by a process called somatic cell nuclear transfer (SCNT).
Somatic Cell Nuclear Transfer
In SCNT, an egg cell is taken from an animal and its nucleus is removed, creating an enucleated egg. Then a somatic cell—any cell that is not a sex...
Somatic Cell Nuclear Transfer
In SCNT, an egg cell is taken from an animal and its nucleus is removed, creating an enucleated egg. Then a somatic cell—any cell that is not a sex...
Fertilization
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Reproductive Cloning
Reproductive cloning is the process of producing a genetically identical copy—a clone—of an entire organism. While clones can be produced by splitting an early embryo—similar to what happens naturally with identical twins—cloning of adult animals is usually done by a process called somatic cell nuclear transfer (SCNT).
Somatic Cell Nuclear Transfer
In SCNT, an egg cell is taken from an animal and its nucleus is removed, creating an enucleated egg. Then a somatic cell—any cell that is not a sex...
Somatic Cell Nuclear Transfer
In SCNT, an egg cell is taken from an animal and its nucleus is removed, creating an enucleated egg. Then a somatic cell—any cell that is not a sex...
In Vitro Fertilization
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
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Infertility in Females
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of endometrial...
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