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使用新型冷冻保存设备(塑料薄片)进行玻璃化冷冻人胚胎移植的临床结局。

Clinical outcomes resulting from the transfer of vitrified human embryos using a new device for cryopreservation (plastic blade).

机构信息

Division of Reproductive Medicine, Sugiyama Clinic, 1-53-1, Ohara, Setagaya, Tokyo, 156-0041, Japan.

出版信息

J Assist Reprod Genet. 2010 Apr;27(4):161-7. doi: 10.1007/s10815-010-9390-y. Epub 2010 Feb 2.

DOI:10.1007/s10815-010-9390-y
PMID:20127161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2854986/
Abstract

PURPOSE

We attempted clinical application of a plastic blade, which is a novel cryopreservation device, for vitrification of human embryos and blastocysts.

METHODS

Between February 2003 and December 2007, a total of 4,430 Day 3 embryos from 898 patients (Day 3 group) and 55 blastocysts from 29 patients (blastocyst group) were vitrified and cryopreserved with a plastic device, and subsequently thawed for embryo transfer. Clinical outcomes after thawing and transfer of vitrified embryos and blastocysts were evaluated.

RESULTS

In the Day 3 group, all embryos resulting from 1,441 oocyte retrieval cycles were recovered, and the thawed embryo survival rate was 98.4%. In the blastocyst group, the survival rate after thawing was 100%. A total of 3,026 day 3 embryos and 46 blastocysts were transferred. The pregnancy and implantation rates in the Day 3 group were 25.0% and 15.5%, respectively, and in the blastocyst group the rates were 24.2% and 26.1%, respectively. The miscarriage rates in the Day 3 and blastocyst groups were 18.3% and 50.0%, respectively.

CONCLUSIONS

A plastic blade is a useful novel device in cryopreservation of vitrified human embryos.

摘要

目的

我们尝试将一种新型的冷冻保存装置——塑料刀片应用于人类胚胎和囊胚的玻璃化冷冻。

方法

在 2003 年 2 月至 2007 年 12 月期间,我们使用塑料装置对 898 名患者的 4430 枚第三天胚胎(第三天组)和 29 名患者的 55 枚囊胚(囊胚组)进行了玻璃化冷冻和保存,随后进行解冻以进行胚胎移植。评估了解冻和移植冷冻胚胎和囊胚后的临床结局。

结果

在第三天组中,我们回收了 1441 个卵母细胞回收周期的所有胚胎,解冻后的胚胎存活率为 98.4%。在囊胚组中,解冻后的存活率为 100%。共移植了 3026 枚第三天胚胎和 46 枚囊胚。第三天组的妊娠和着床率分别为 25.0%和 15.5%,囊胚组的妊娠和着床率分别为 24.2%和 26.1%。第三天组和囊胚组的流产率分别为 18.3%和 50.0%。

结论

塑料刀片是一种用于人类胚胎玻璃化冷冻保存的有用的新型装置。

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Reduction of perifollicular arterial blood flow resistance after hCG administration is a good indicator of the recovery of mature oocytes in ART treatment.在辅助生殖技术(ART)治疗中,注射人绒毛膜促性腺激素(hCG)后卵泡周围动脉血流阻力的降低是成熟卵母细胞恢复情况的良好指标。
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Comparison of open and closed methods for vitrification of human embryos and the elimination of potential contamination.人类胚胎玻璃化冷冻的开放法与封闭法比较及潜在污染的消除
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Perinatal outcome of blastocyst transfer with vitrification using cryoloop: a 4-year follow-up study.使用冷冻环玻璃化法进行囊胚移植的围产期结局:一项4年随访研究
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Hum Reprod. 2003 Feb;18(2):384-91. doi: 10.1093/humrep/deg047.
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Potential importance of vitrification in reproductive medicine.玻璃化冷冻技术在生殖医学中的潜在重要性。
Biol Reprod. 2002 Dec;67(6):1671-80. doi: 10.1095/biolreprod.102.006833.
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Successful birth after transfer of vitrified human blastocysts with use of a cryoloop containerless technique.采用冷冻环无容器技术移植玻璃化人囊胚后成功分娩。
Fertil Steril. 2001 Sep;76(3):618-20. doi: 10.1016/s0015-0282(01)01968-9.
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Effect of activation with Ca ionophore A23187 and puromycin on the development of human oocytes that failed to fertilize after intracytoplasmic sperm injection.钙离子载体A23187和嘌呤霉素激活对卵胞浆内单精子注射后未受精的人卵母细胞发育的影响。
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