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应用新鲜睾丸精子在克氏综合征合并卡塔格内综合征患者中诞生健康男婴。

Birth of a healthy boy using fresh testicular sperm in a patient with Klinefelter syndrome combined with Kartagener syndrome.

机构信息

Private Ankara IVF Center, Ankara, Turkey.

出版信息

Fertil Steril. 2011 Sep;96(3):577-9. doi: 10.1016/j.fertnstert.2011.06.011. Epub 2011 Jun 30.

DOI:10.1016/j.fertnstert.2011.06.011
PMID:21718985
Abstract

OBJECTIVE

To report a case of Klinefelter syndrome combined with Kartagener syndrome.

DESIGN

Case report.

SETTING

Private IVF center.

PATIENT(S): A 35-year-old man with Klinefelter syndrome combined with Kartagener syndrome causing primary infertility.

INTERVENTION(S): Testicular sperm extraction (TESE) and intracytoplasmic sperm injection (ICSI).

MAIN OUTCOME MEASURE(S): Sperm recovery, fertilization, and live birth.

RESULT(S): Ovulation induction of the female partner, recovery of spermatozoa by TESE from the male partner and ICSI of 9 metaphase II oocytes resulted in two fertilized oocytes. The delivery of a healthy boy with normal anatomy and 46,XY karyotype was achieved after the transfer of only one 4-cell grade 1 embryo.

CONCLUSION(S): To our knowledge, this case with nonmosaic Klinefelter syndrome combined with Kartagener's syndrome is unique and demonstrates the revolutionary aspects of assisted reproductive technologies (ART) concerning male factor infertility.

摘要

目的

报告一例克氏综合征合并卡他性不动纤毛综合征。

设计

病例报告。

地点

私立试管婴儿中心。

患者

一名 35 岁的克氏综合征合并卡他性不动纤毛综合征导致原发性不孕的男性患者。

干预措施

睾丸精子提取(TESE)和卵胞浆内单精子注射(ICSI)。

主要观察指标

精子回收、受精和活产。

结果

对女性伴侣进行促排卵,从男性伴侣处通过 TESE 回收精子,ICSI 受精 9 枚中期 II 级卵母细胞,获得 2 枚受精卵。仅移植一枚 4 细胞 1 级胚胎,成功分娩一名正常解剖结构和 46,XY 核型的健康男婴。

结论

据我们所知,这种非嵌合型克氏综合征合并卡他性不动纤毛综合征的病例是独特的,展示了辅助生殖技术(ART)在男性因素不孕方面的革命性方面。

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