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使用不可移植胚胎,比较四种不同方法冷冻保存后人类活检胚胎的存活率。

Comparison of the survival of human biopsied embryos after cryopreservation with four different methods using non-transferable embryos.

作者信息

Zheng W T, Zhuang G L, Zhou C Q, Fang C, Ou J P, Li T, Zhang M F, Liang X Y

机构信息

Center for Reproductive Medicine, Department of Obstetrics and Gynecology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510080, China.

出版信息

Hum Reprod. 2005 Jun;20(6):1615-8. doi: 10.1093/humrep/deh808. Epub 2005 Mar 3.

Abstract

BACKGROUND

The standard embryo cryopreservation method is still less than optimal for biopsied embryos. The aim of this study was to compare the survival of biopsied embryos cryopreserved with four different methods using non-transferable embryos.

METHODS

Abnormal embryos from one or three pronuclei and spare embryos of grade 3 and 4 were used for this study. Non-biopsied embryos were cryopreserved using the standard method as control. Biopsied embryos were cryopreserved using four methods as follows: standard method, modified freezing method, modified thawing method and vitrification. Blastomere survival and blastulation of frozen-thawed embryos were compared between the different methods.

RESULTS

The proportion of embryos with > or = 50% blastomere survival and total blastomere survival rate of biopsied embryos were significantly higher with vitrification than the other three methods. Both the modified freezing and modified thawing methods had significantly higher embryo survival and total blastomere survival rates than standard methods. However, there was no significant difference in blastulation of surviving embryos in all the five groups.

CONCLUSIONS

Non-transferable embryos derived from clinical IVF/ICSI are useful for evaluation of the optimal freezing procedures for biopsied embryos. Vitrification increases the survival rate of human biopsied embryos above standard and modified cryopreservation methods.

摘要

背景

标准的胚胎冷冻保存方法对于活检后的胚胎仍不尽人意。本研究旨在使用不可移植胚胎比较四种不同方法冷冻保存活检胚胎后的存活率。

方法

本研究使用了来自单原核或三原核的异常胚胎以及3级和4级备用胚胎。未活检的胚胎采用标准方法冷冻保存作为对照。活检后的胚胎采用以下四种方法冷冻保存:标准方法、改良冷冻方法、改良解冻方法和玻璃化冷冻法。比较不同方法之间冻融胚胎的卵裂球存活率和囊胚形成率。

结果

玻璃化冷冻法冷冻保存的活检胚胎中,卵裂球存活率≥50%的胚胎比例和总卵裂球存活率显著高于其他三种方法。改良冷冻法和改良解冻法的胚胎存活率和总卵裂球存活率均显著高于标准方法。然而,所有五组中存活胚胎的囊胚形成率没有显著差异。

结论

临床体外受精/卵胞浆内单精子注射获得的不可移植胚胎可用于评估活检胚胎的最佳冷冻程序。与标准和改良冷冻保存方法相比,玻璃化冷冻法提高了人类活检胚胎的存活率。

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