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[人类第3天卵裂期胚胎玻璃化冷冻与慢速冷冻的比较:玻璃化冷冻后的发育及妊娠结局]

[Comparison of vitrification and slow-freezing of human day 3 cleavage stage embryos: post-vitrification development and pregnancy outcomes].

作者信息

Li Yuan, Chen Zi-jiang, Yang Hui-jun, Zhong Wan-xia, Ma Shui-ying, Li Mei

机构信息

Reproductive Medical Center, Shandong Provincial Hospital, Shandong University, Jinan 250021, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2007 Nov;42(11):753-5.

Abstract

OBJECTIVE

To compare the effects of vitrification with slow-freezing on the developmental ability of day 3 cleavage stage embryos.

METHODS

Patients who had no less than 4 high quality embryos were included in this study. These embryos were cryopreserved using the methods of vitrification or slow-freezing. In the cryopreserved embryo transfer cycles, the embryos which were cryopreserved using one of the methods were chosen randomly. The developmental ability of embryos was compared between these two groups.

RESULTS

A total of 80 patients were included in this study with 160 embryos. In the group of slow-freezing, 73 (91%) embryos were survived and achieved 15 (38%) clinical pregnancies. Among these, 3 were twins and the implantation rate was 25% (18/73). In the group of vitrification, 71 (89%) embryos were survived and achieved 19 (48%) clinical pregnancies. Among these, 9 were twins and the implantation rate was 39% (28/71), which was significantly higher than the slow-freezing group (P < 0.05). Otherwise, the clinical pregnant rate and multiple pregnant rate was higher in the group of vitrification than the slow-freezing group, but had no significance.

CONCLUSION

Vitrification is more benefit for the developmental ability of the thawed embryos and more suitable for the cryopreservation of day 3 cleavage stage embryos.

摘要

目的

比较玻璃化冷冻与慢速冷冻对第3天卵裂期胚胎发育能力的影响。

方法

本研究纳入至少有4枚优质胚胎的患者。这些胚胎采用玻璃化冷冻或慢速冷冻方法进行冷冻保存。在冷冻胚胎移植周期中,随机选择采用其中一种方法冷冻保存的胚胎。比较两组胚胎的发育能力。

结果

本研究共纳入80例患者,160枚胚胎。在慢速冷冻组,73枚(91%)胚胎存活,获得15例(38%)临床妊娠。其中,3例为双胎妊娠,着床率为25%(18/73)。在玻璃化冷冻组,71枚(89%)胚胎存活,获得19例(48%)临床妊娠。其中,9例为双胎妊娠,着床率为39%(28/71),显著高于慢速冷冻组(P<0.05)。此外,玻璃化冷冻组的临床妊娠率和多胎妊娠率高于慢速冷冻组,但差异无统计学意义。

结论

玻璃化冷冻对解冻后胚胎的发育能力更有益,更适合第3天卵裂期胚胎的冷冻保存。

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