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一项关于二极管激光辅助孵化后出生儿童的随访研究。

A follow-up study of children born after diode laser assisted hatching.

作者信息

Kanyó K, Konc J

机构信息

Szent János Hospital, Infertility and IVF Center of Buda, Diósárok u. 1, 1125, Budapest, Hungary.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2003 Oct 10;110(2):176-80. doi: 10.1016/s0301-2115(03)00215-x.

Abstract

This follow-up study of children born after laser assisted hatching (LAH) with a non-contact laser aims to compile data on karyotypes, deliveries, congenital malformations and growth parameters to evaluate the safety of this new technique. The study design consisted of karyotyping and completion of a standardized questionnaire. Data were analyzed for the first 134 children born after LAH. Indication for LAH were the age (over 35 years) (group I), previously minimum three unsuccessful IVF-ET treatment cycles (group II) and age >35 years with at least three unsuccessful IVF cycles (group III). In our study group of 134 babies we found no increase in the major congenital malformation rate (2.2%) which is comparable with the major congenital malformation rate (3%) among all deliveries at our hospital. No increase in chromosomal aberrations could be observed. Neither could we observe a difference in minor congenital malformations between the LAH treated group and all deliveries at our hospital (10.4% versus 11.1%). On this limited number of children born after LAH there was neither evidence of an increased incidence of chromosomal aberrations nor of congenital malformations.

摘要

这项针对非接触式激光辅助孵化(LAH)后出生儿童的随访研究旨在收集有关核型、分娩情况、先天性畸形和生长参数的数据,以评估这项新技术的安全性。研究设计包括核型分析和填写标准化问卷。对LAH后出生的前134名儿童的数据进行了分析。LAH的指征为年龄(超过35岁)(第一组)、既往至少有三次体外受精-胚胎移植(IVF-ET)治疗周期失败(第二组)以及年龄>35岁且至少有三次IVF周期失败(第三组)。在我们的134名婴儿研究组中,我们发现主要先天性畸形率(2.2%)没有增加,这与我院所有分娩中的主要先天性畸形率(3%)相当。未观察到染色体畸变增加。我们也未观察到LAH治疗组与我院所有分娩之间在轻微先天性畸形方面存在差异(分别为10.4%和11.1%)。基于LAH后出生的这有限数量的儿童,既没有证据表明染色体畸变发生率增加,也没有证据表明先天性畸形发生率增加。

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