评估精子DNA碎片化测试的潜力,以指导在男性不严重不育症的夫妇中使用ICSI
Yuanyuan Wang1, Rui Wang2, Ying Lian1
1National Clinical Research Centre for Obstetrical and Gynaecological Diseases, State Key Laboratory of Female Fertility Promotion, Centre for Reproductive Medicine, Department of Obstetrics and Gynaecology, Peking University Third Hospital, Beijing, China.
Human reproduction open
|March 16, 2026
概括
精子DNA碎片化指数 (DFI) 测试在指导治疗选择中具有有限的价值,用于治疗非严重男性不孕症的细胞内精子注射 (ICSI) 和体外受精 (IVF) 之间的治疗选择. 对于这种患者群体,不建议进行常规的DFI测试.
科学领域:
- 生殖医学 生殖医学
- 不孕症研究 不孕症研究
- 辅助生殖技术 辅助生殖技术
背景情况:
- 与体外受精 (IVF) 相比,细胞内精子注射 (ICSI) 可能会降低男性不严重不育的活产率.
- 精子DNA碎片化指数 (DFI) 测试在指导ICSI与IVF选择中的实用性仍然不清楚.
研究的目的:
- 根据累积活产率,确定精子DFI测试是否可以识别受益于ICSI而不是IVF的夫妇.
- 评估DFI作为非严重男性不孕症治疗选择生物标志物的作用.
主要方法:
- 一项随机临床试验 (RCT) 的二次分析,涉及953对男性不严重不育的夫妇.
- 在ICSI和试管婴儿组之间累积活产率的比较,通过DFI量度分层.
- 多变量分数多项式相互作用分析以评估DFI和治疗相互作用.
主要成果:
- 在所有DFI量度中,ICSI和IVF之间的累积活产率没有显著差异.
- 多变量分析没有证据表明精子DFI和ICSI对IVF治疗效果之间的相互作用 (P=0.298).
结论:
- 精子DFI测试在指导在ICSI和IVF之间进行非严重男性不孕症的选择方面具有有限的价值.
- 目前的证据不支持对这一群体进行常规的DFI测试,以指导受精方法的选择.
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