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全胚胎冷冻中的玻璃化技术

Vitrification technology in whole embryo freezing.

作者信息

Xie Xiaodong, Zou Lian, Shen Yang, Xiong Fang, Chen Jie

机构信息

Maternal and Child Health Care Hospital, Nanjing Medical University, Wuxi Jiangsu 214002, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2010 Jul;35(7):673-8. doi: 10.3969/j.issn.1672-7347.2010.07.005.

Abstract

OBJECTIVE

To investigate the clinical outcome of patients who underwent whole embryo vitrification freezing and thawed frozen embryo transplantation, and to compare it with the patients at the same period in the fresh cycle to explore the value of vitrification technology in the whole embryo freezing combined with recovery transplantation.

METHODS

The whole embryo freezing group included 40 untransplanted cases of in-vitro fertilization (IVF), while another 300 patients in the fresh cycle with in vitro fertilization and embryo transfer (IVF-ET) at the same period served as the fresh cycle group. The average number of transferred embryos, high-quality embryos, endometrial thickness, estradiol (E₂) level, and clinical pregnancy rate were compared.

RESULTS

The average number of transferred embryos, high-quality embryos, difference in endometrial thickness were not significant between the 2 groups (P>0.05); the E₂ level of the fresh cylcle group was significantly higher than that of the whole embryo freezing group (P<0.05), and the clinical pregnancy rate in the fresh cylcle group was significantly lower than that of the whole embryo freezing group (P<0.05).

CONCLUSION

Vitrification technology is a simple, reliable, and efficient embryo freezing technology. For patients who meet the requirements, whole embryo vitrfication freezing and thawed frozen embryo transplantation is feasible. It is worth for further clinical research.

摘要

目的

探讨接受全胚玻璃化冷冻及解冻后冻融胚胎移植患者的临床结局,并与同期新鲜周期患者进行比较,以探讨玻璃化技术在全胚冷冻联合复苏移植中的价值。

方法

全胚冷冻组包括40例未移植的体外受精(IVF)病例,同期另外300例行体外受精-胚胎移植(IVF-ET)的新鲜周期患者作为新鲜周期组。比较两组患者的平均移植胚胎数、优质胚胎数、子宫内膜厚度、雌二醇(E₂)水平及临床妊娠率。

结果

两组患者的平均移植胚胎数、优质胚胎数、子宫内膜厚度差异均无统计学意义(P>0.05);新鲜周期组的E₂水平显著高于全胚冷冻组(P<0.05),新鲜周期组的临床妊娠率显著低于全胚冷冻组(P<0.05)。

结论

玻璃化技术是一种简单、可靠且高效的胚胎冷冻技术。对于符合条件的患者,全胚玻璃化冷冻及解冻后冻融胚胎移植是可行的。值得进一步开展临床研究。

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