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影响马胚胎移植后妊娠率和早期胚胎死亡的因素。

Factors affecting pregnancy rates and early embryonic death after equine embryo transfer.

作者信息

Carnevale E M, Ramirez R J, Squires E L, Alvarenga M A, Vanderwall D K, McCue P M

机构信息

Animal Reproduction and Biotechnology Laboratory, Colorado State University, Fort Collins 80523, USA.

出版信息

Theriogenology. 2000 Oct 1;54(6):965-79. doi: 10.1016/S0093-691X(00)00405-2.

Abstract

In the present study, 638 embryo transfers conducted over 3 yr were retrospectively examined to determine which factors (recipient, embryo and transfer) significantly influenced pregnancy and embryo loss rates and to determine how rates could be improved. On Day 7 or 8 after ovulation, embryos (fresh or cooled/transported) were transferred by surgical or nonsurgical techniques into recipients ovulating from 5 to 9 d before transfer. At 12 and 50 d of gestation (Day 0 = day of ovulation), pregnancy rates were 65.7% (419 of 638) and 55.5% (354 of 638). Pregnancy rates on Day 50 were significantly higher for recipients that had excellent to good uterine tone or were graded as "acceptable" during a pretransfer examination, usually performed 5 d after ovulation, versus recipients that had fair to poor uterine tone or were graded "marginally acceptable." Embryonic factors that significantly affected pregnancy rates were morphology grade, diameter and stage of development. The incidence of early embryonic death was 15.5% (65 of 419) from Days 12 to 50. Embryo loss rates were significantly higher in recipients used 7 or 9 d vs 5 or 6 d after ovulation. Embryos with minor morphological changes (Grade 2) resulted in more (P<0.05) embryo death than embryos with no morphological abnormalities (Grade 1). Between Days 12 and 50, the highest incidence of embryo death occurred during the interval from Days 17 to 25 of gestation. Embryonic vesicles that were imaged with ultrasound during the first pregnancy exam (5 d after transfer) resulted in significantly fewer embryonic deaths than vesicles not imaged until subsequent exams. In the present study, embryo morphology was predictive of the potential for an embryo to result in a viable pregnancy. Delayed development of the embryo upon collection from the donor or delayed development of the embryonic vesicle within the recipient's uterus was associated with a higher incidence of pregnancy failure. Recipient selection (age, day after ovulation, quality on Day 5) significantly affected pregnancy and embryo loss rates.

摘要

在本研究中,对3年内进行的638次胚胎移植进行了回顾性分析,以确定哪些因素(受体、胚胎和移植)对妊娠率和胚胎丢失率有显著影响,并确定如何提高这些比率。在排卵后第7天或第8天,通过手术或非手术技术将胚胎(新鲜的或冷冻/运输的)移植到在移植前5至9天排卵的受体中。在妊娠第12天和第50天(第0天=排卵日),妊娠率分别为65.7%(638例中的419例)和55.5%(638例中的354例)。对于子宫张力良好至优秀或在通常于排卵后5天进行的移植前检查中被评为“可接受”的受体,其第50天的妊娠率显著高于子宫张力一般至较差或被评为“勉强可接受”的受体。显著影响妊娠率的胚胎因素包括形态学等级、直径和发育阶段。从第12天到第50天,早期胚胎死亡的发生率为15.5%(419例中的65例)。排卵后7天或9天使用的受体的胚胎丢失率显著高于排卵后5天或6天使用的受体。形态学有轻微变化(2级)的胚胎比无形态学异常(1级)的胚胎导致更多(P<0.05)的胚胎死亡。在第12天至第50天之间,胚胎死亡的最高发生率发生在妊娠第17天至第25天的时间段内。在首次妊娠检查(移植后5天)时通过超声成像的胚泡导致的胚胎死亡明显少于直到后续检查才成像的胚泡。在本研究中,胚胎形态学可预测胚胎实现存活妊娠的可能性。从供体采集时胚胎发育延迟或受体子宫内胚泡发育延迟与妊娠失败的发生率较高相关。受体选择(年龄、排卵后天数、第5天的质量)显著影响妊娠率和胚胎丢失率。

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