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卵母细胞冷冻保存的实验室评估表明,无论是出于医疗指征、推迟生育还是卵子捐赠而冷冻的,所取出的卵母细胞都是可比的。

Laboratory evaluation in oocyte cryopreservation suggests retrieved oocytes are comparable whether frozen for medical indications, deferred reproduction or oocyte donation.

机构信息

Department of Obstetrics and Gynecology, NYU, New York, NY, USA.

出版信息

J Assist Reprod Genet. 2010 Nov;27(11):613-7. doi: 10.1007/s10815-010-9455-y. Epub 2010 Jul 28.

DOI:10.1007/s10815-010-9455-y
PMID:20665237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2995435/
Abstract

PURPOSE

to compare pre-cryo data from oocyte cryopreservation (OC) cycles performed for malignancy (MED) vs. elective deferment of reproduction (DR) or oocyte donation (OD).

METHODS

all patients were ≤40 y and underwent standard ovarian stimulation and retrieval. Prior to OC, meiotic spindle (MS) and zona pellucida (ZP) retardance was measured using digital polarized light microscopy (DPLM).

RESULTS

of 130 OC cycles, 49 were for MED, 73 for DR, and 8 for OD. Cycles completed for MED had an average of 9 ±1 spindle-positive oocytes with a mean MS retardance of 1.2  ± 02 nm and ZP retardance of 2.1 ± .06 nm, which was clinically comparable to the other groups.

CONCLUSIONS

women with malignancy can achieve adequate ovarian response and similar oocyte parameters to those of women undergoing fertility preservation for non-cancer indications. Such information, coupled with the ability to noninvasively study oocyte dynamics, may improve the counseling of cancer patients seeking fertility preservation.

摘要

目的

比较因恶性肿瘤(MED)而行卵母细胞冷冻保存(OC)与因选择性推迟生育(DR)或卵母细胞捐赠(OD)而行 OC 的周期的预冻存数据。

方法

所有患者均≤40 岁,接受标准卵巢刺激和取卵。在 OC 之前,使用数字偏光显微镜(DPLM)测量减数分裂纺锤体(MS)和透明带(ZP)延迟。

结果

在 130 个 OC 周期中,49 个用于 MED,73 个用于 DR,8 个用于 OD。完成的 MED 周期平均有 9±1 个 MS 阳性卵母细胞,MS 延迟平均值为 1.2±02nm,ZP 延迟平均值为 2.1±0.06nm,与其他组相当。

结论

患有恶性肿瘤的女性可以获得足够的卵巢反应和类似的卵母细胞参数,与因非癌症指征而进行生育力保存的女性相当。此类信息,加上能够对卵母细胞动力学进行非侵入性研究,可能会改善寻求生育力保存的癌症患者的咨询。

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本文引用的文献

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Oocyte cryopreservation outcomes including pre-cryopreservation and post-thaw meiotic spindle evaluation following slow cooling and vitrification of human oocytes.人类卵子的慢速冷冻和玻璃化冷冻后,对卵子进行预冷冻和冻融后减数分裂纺锤体评估的卵母细胞冷冻保存结果。
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Delivery rate using cryopreserved oocytes is comparable to conventional in vitro fertilization using fresh oocytes: potential fertility preservation for female cancer patients.使用冷冻卵子的受精率与使用新鲜卵子的常规体外受精相当:女性癌症患者潜在的生育力保存。
Fertil Steril. 2010 Feb;93(2):391-6. doi: 10.1016/j.fertnstert.2009.02.067. Epub 2009 May 12.
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Clinical evaluation of the efficiency of an oocyte donation program using egg cryo-banking.使用卵子冷冻库的卵母细胞捐赠计划效率的临床评估。
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Enhanced polarizing microscopy as a new tool in aneuploidy research in oocytes.增强偏振显微镜作为卵母细胞非整倍体研究的新工具。
Mutat Res. 2008 Mar 12;651(1-2):131-40. doi: 10.1016/j.mrgentox.2007.10.013. Epub 2007 Nov 9.
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Comparison of concomitant outcome achieved with fresh and cryopreserved donor oocytes vitrified by the Cryotop method.采用Cryotop法玻璃化冷冻的新鲜和冷冻保存供体卵母细胞所实现的伴随结局比较。
Fertil Steril. 2008 Jun;89(6):1657-64. doi: 10.1016/j.fertnstert.2007.05.050. Epub 2007 Sep 24.
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Optimal ICSI timing after the first polar body extrusion in in vitro matured human oocytes.体外成熟的人类卵母细胞第一次极体排出后的最佳卵胞浆内单精子注射时机。
Hum Reprod. 2007 Jul;22(7):1991-5. doi: 10.1093/humrep/dem124. Epub 2007 May 18.
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Cancer in 15- to 29-year-olds by primary site.15至29岁人群按原发部位划分的癌症情况。
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