精子染色体凝聚缺陷和试管婴儿的结果:一个回顾性队列研究
Wen Zhou1, Shan Lu2, Aiai Wang2
1Department of Reproductive Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
PeerJ
|February 3, 2026
概括
精子染色体凝聚缺陷 (SCCD) 对体外受精 (IVF) 的成功产生负面影响,减少临床怀孕和活产率. 建议在试管婴儿之前评估SCCD,以获得更好的结果.
科学领域:
- 生殖医学 生殖医学
- 精子生物学 精子生物学
- 在体外受精过程中受精.
背景情况:
- 精子染色体凝聚缺陷 (SCCD) 对体外受精 (IVF) 结果的影响受到辩论.
- 这项研究调查了SCCD在首次试管婴儿周期中对胚胎,怀孕和新生儿结果的影响.
研究的目的:
- 为了澄清SCCD和IVF成功率之间的关联.
- 确定潜在的值和SCCD水平与临床结果之间的非线性关系.
主要方法:
- 对647对夫妇进行了首次试管婴儿周期的回顾性队列研究.
- 亚尼林蓝色染色评估了SCCD.
- 多变量逻辑回归,分层和通用添加模型分析了结果.
主要成果:
- 增加的SCCD (≥30%) 与糟糕的精液参数和较低的2PN裂解率相关.
- 增加SCCD水平独立减少了临床怀孕和活产率.
- 对活产生的显著风险值被确定为10.6%的SCCD.
结论:
- SCCD独立地与IVF成功降低有关.
- 对SCCD的评估在IVF前的评估中是有价值的.
- 研究结果支持将SCCD视为试管婴儿结果的预后因素.
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