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屈宗银,王凤英,李玉艳,何畏,俞炽阳,李明舵,邓丽,彭倩,姚春莉.短时受精对体外受精结果的影响[J].陆军军医大学学报(原第三军医大学学报),2010,32(16):1785-1787.
Qu Zongyin,Wang Fengying,Li Yuyan,He Wei,Yu Chiyang,Li Mingduo,Deng Li,Peng Qian,Yao Chunli.Effects of short imsemination on in vitro fertilization outcomes[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(16):1785-1787.
屈宗银,王凤英,李玉艳,何畏,俞炽阳,李明舵,邓丽,彭倩,姚春莉.短时受精对体外受精结果的影响[J].陆军军医大学学报(原第三军医大学学报),2010,32(16):1785-1787. DOI:
Qu Zongyin,Wang Fengying,Li Yuyan,He Wei,Yu Chiyang,Li Mingduo,Deng Li,Peng Qian,Yao Chunli.Effects of short imsemination on in vitro fertilization outcomes[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(16):1785-1787. DOI:
目的 了解短时受精对体外受精-胚胎移植(in vitro fertilization and embryo transfer
IVF-ET)结局的影响。 方法 选择在本生殖医学中心接受常规IVF治疗的248个周期,通过一定条件限制将其分为短时受精组和过夜受精组,将248个常规IVF周期中的卵子进行配对资料(同一IVF周期同时进行短时受精和过夜受精者
共20个周期)和非配对资料(1个IVF周期只采用1种方式受精者,过夜受精组177个周期,短时受精组51个周期)研究,比较短时受精组和过夜受精组的正常受精(2PN)率、多精受精率、卵裂率、优质胚胎率及临床妊娠率。 结果 无论配对还是非配对资料,短时受精组的正常受精(2PN)率、多精受精率、卵裂率、优质胚胎率、临床妊娠率等与过夜受精组比较均无统计学差异(P0.05);在非配对资料中,短时受精组的移植优胚率(77.33±36.69)%明显高于过夜受精组(64.04±41.85)%(P0.05),而在配对资料中,用于移植的优质胚胎率短时受精组和过夜受精组无统计学差异(P0.05)。 结论 短时受精是一种安全、有效的受精方式,但不能改善胚胎质量和妊娠结局。
Objective To investigate the effects of short gamete (sperm - oocyte) co - incubation on outcomes of
in vitro
fertilization and embryo transfer (IVF - ET). Methods All oocytes from 248 IVF - ET cycles in our department from October 2008 to September 2009 were studied in pair and non - pair design. They were divided with some condition into shortened insemination group and overnight insemination group. Their IVF outcomes were analyzed. Results All pair and non - pair data showed that there was no significant difference in the number of retrieved oocytes
percentage of oocytes at M Ⅱ stage
dip
loid fertilization rates (two pronuclei
2PN)
polyspermy (2PN) rates
cleavage rates
high quality embryo rates and the pregnancy rates between shortened insemination group and overnight fertilization group(
P
0 . 05). The high quality embryo rates used for ET in shortened insemination group were significantly higher than those in overnight insemination group in the non - pair data(
P
0 . 05)
but no significant difference between shortened insemination and overnight fertilization groups was found in the pair data(
P
0 . 05). Conclusion Short gamete co - incubation is reliable and efficacious. However
it could not improve embryo quality.
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