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使用新鲜和冷冻卵子进行胚胎发育和妊娠。

Embryo development and gestation using fresh and vitrified oocytes.

机构信息

Materbaby Human Reproduction-Human Reproduction, Av XV de Novembro, 1232, Maringá, Paraná 87013230, Brazil.

出版信息

Hum Reprod. 2010 May;25(5):1192-8. doi: 10.1093/humrep/deq042. Epub 2010 Feb 25.

Abstract

BACKGROUND

The objective of this study was to compare the gestational results obtained with vitrified/thawed oocytes by a novel vitrification method (Vitri-ingá) to results obtained with fresh oocytes.

METHODS

A total of 125 IVF-ET procedures carried out over 2008 were analysed, in which 79 patients received embryos from fresh oocytes (Group 1), and 46 patients received embryos from vitrified/thawed oocytes using Vitri-ingá (Group 2). Fresh and vitrified/thawed oocytes were fertilized and embryos were transferred. Fertilization, pregnancy and implantation rates were compared.

RESULTS

Vitrified oocytes presented a survival rate of 84.9%. Fertilization, pregnancy and implantation rates showed no statistically significant differences between fresh and cryopreserved/thawed groups (81.3, 51.9, 21.3% and 80.8, 45.6 and 14.9%, respectively). Only the average number of blastomeres in Group 1 (6.86 +/- 2.07) was significantly higher than in Group 2 (6.35 +/- 2.26; P = 0.010).

CONCLUSIONS

Despite some differences in the patient groups, the clinical results of this study demonstrated that the Vitri-ingá method preserves the potential of human vitrified oocytes for fertilization and further development.

摘要

背景

本研究的目的是比较使用新型玻璃化方法(Vitri-ingá)冷冻和解冻的卵母细胞的妊娠结果与新鲜卵母细胞的结果。

方法

分析了 2008 年期间进行的 125 例 IVF-ET 程序,其中 79 例患者接受新鲜卵母细胞的胚胎(第 1 组),46 例患者接受 Vitri-ingá 冷冻和解冻的卵母细胞的胚胎(第 2 组)。新鲜和冷冻和解冻的卵母细胞均进行受精,胚胎进行移植。比较受精、妊娠和着床率。

结果

冷冻的卵母细胞存活率为 84.9%。新鲜和冷冻和解冻组的受精率、妊娠率和着床率无统计学差异(分别为 81.3%、51.9%、21.3%和 80.8%、45.6%和 14.9%)。只有第 1 组(6.86 +/- 2.07)的平均卵裂球数明显高于第 2 组(6.35 +/- 2.26;P = 0.010)。

结论

尽管患者组存在一些差异,但本研究的临床结果表明,Vitri-ingá 方法保留了人类冷冻卵母细胞的受精和进一步发育潜力。

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