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在接受体外受精时,约13%的女性可能因未评估异常低渗肿胀试验评分而采用错误的卵母细胞授精方法。

About 13% of women may have the wrong method of oocyte insemination when undergoing in vitro fertilization by failure to evaluate the abnormal hypo-osmotic swelling test score.

作者信息

Citrino G, Check J H, Bollendorf A, Hourani W, Diantonio A

机构信息

The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, NJ, USA.

出版信息

Clin Exp Obstet Gynecol. 2011;38(1):21-3.

PMID:21485718
Abstract

PURPOSE

To determine the percentage of males with a low hypoosmotic swelling (HOS) test score in couples having in vitro fertilization-embryo transfer (IVF-ET) where the male partner had normal motile densities and no antisperm antibodies.

METHODS

The results were also analyzed according to the percentage of HOS scores < 50% when morphology using strict criteria was < or = 4% or > 4%. A retrospective review was performed.

RESULTS

There were 250 subnormal HOS scores out of 1993 otherwise normal semen specimens.

CONCLUSIONS

12.5% of couples would have had conventional oocyte inseminations rather than ICSI if the HOS test had not been not performed (it is rarely performed by other IVF centers). Without ICSI expected live delivered pregnancy rates would be close to zero for males with low HOS tests < 50%. Intracytoplasmic sperm injection allows pregnancy rates almost as good as completely normal sperm.

摘要

目的

在男性伴侣精子活动密度正常且无抗精子抗体的体外受精-胚胎移植(IVF-ET)夫妇中,确定低渗肿胀(HOS)试验评分低的男性所占的比例。

方法

当采用严格标准的形态学<或=4%或>4%时,还根据HOS评分<50%的百分比对结果进行了分析。进行了一项回顾性研究。

结果

在1993份其他方面正常的精液标本中,有250份HOS评分低于正常。

结论

如果未进行HOS试验(其他IVF中心很少进行),12.5%的夫妇本会进行传统的卵母细胞授精而非卵胞浆内单精子注射(ICSI)。对于HOS试验<50%的男性,若不进行ICSI,预期的活产妊娠率将接近零。卵胞浆内单精子注射使妊娠率几乎与完全正常精子的情况一样好。

相似文献

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About 13% of women may have the wrong method of oocyte insemination when undergoing in vitro fertilization by failure to evaluate the abnormal hypo-osmotic swelling test score.在接受体外受精时,约13%的女性可能因未评估异常低渗肿胀试验评分而采用错误的卵母细胞授精方法。
Clin Exp Obstet Gynecol. 2011;38(1):21-3.
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Sperm with an abnormal hypo-osmotic swelling test--normal fertilization, normal embryo development, but implantation failure.低渗肿胀试验异常的精子——受精正常、胚胎发育正常,但着床失败。
Clin Exp Obstet Gynecol. 2016;43(3):319-27.
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Effect of poor motility on pregnancy outcome following intracytoplasmic sperm injection in couples whose male partners have subnormal hypo-osmotic swelling test scores.男性伴侣低渗肿胀试验评分低于正常水平的夫妇,其精子活力差对卵胞浆内单精子注射后妊娠结局的影响。
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Intracytoplasmic sperm injection allows normal pregnancy rates for males 40 with low hypoosmotic swelling test scores even when complicated by very low motility percentage.对于低渗肿胀试验分数较低的男性,即使伴有极低的精子活力百分比,卵胞浆内单精子注射也能获得正常的妊娠率。
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Intracytoplasmic sperm injection completely negates the implantation problem associated with conventional fertilization with sperm with low hypo-osmotic swelling test scores as evidenced by evaluating donor-recipient pairs.通过对供体-受体配对进行评估可知,卵胞浆内单精子注射完全消除了与传统受精相关的植入问题,传统受精采用的精子低渗肿胀试验得分较低。
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In vitro fertilization with intracytoplasmic sperm injection is an effective therapy for male factor infertility related to subnormal hypo-osmotic swelling test scores.卵胞浆内单精子注射体外受精是治疗与低渗肿胀试验评分低于正常相关的男性因素不孕症的有效方法。
J Androl. 2001 Mar-Apr;22(2):261-5.
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A retrospective comparison of pregnancy outcome following conventional oocyte insemination vs intracytoplasmic sperm injection for isolated abnormalities in sperm morphology using strict criteria.采用严格标准,对传统卵母细胞授精与卵胞浆内单精子注射治疗精子形态孤立异常后的妊娠结局进行回顾性比较。
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Intra-cytoplasmic sperm injection versus partial zona dissection, subzonal insemination and conventional techniques for oocyte insemination during in vitro fertilisation.体外受精过程中卵母细胞受精的胞浆内单精子注射与部分透明带切除术、透明带下授精及传统技术的比较
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Conventional oocyte insemination may result in a better pregnancy outcome than intracytoplasmic sperm injection (ICSI) for unexplained infertility.对于不明原因的不孕症,传统的卵母细胞授精可能比胞浆内单精子注射(ICSI)产生更好的妊娠结局。
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The majority of males with subnormal hypoosmotic test scores have normal vitality.大多数低渗试验分数低于正常水平的男性具有正常的活力。
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