Batuhan Ozmen, Safaa Al-Hassani
Department of Obstetrics & Gynaecology, Artificial Reproduction Center, University of Ankara, Ankara, Turkey.
J Reprod Infertil. 2010 Apr;11(1):3-15.
In recent years, preservation of fertility in women has been of great importance, especially in patients exposed to deleterious conditions on fertility. Thus, cryopreservation of human gametes, embryos and ovarian tissue has become an essential part of assisted reproduction. This approach limits the number of embryos transferred, while supernumerary oocytes and/ or embryos can be used in subsequent treatment cycles. Furthermore, cryopreservation reduces the potential risk of hyperstimulation syndrome. Cryopreservation is carried out by two techniques; the slow freezing method, and the more recent rapid procedure called vitrification technology. Recently due the success and simplicity of vitrification, the balance between those two methods has been changed in advantage of vitrification. The use of slow freezing method has become controversial due to its difficulties, expense and respective low success rates in artificial reproduction. Therefore, vitrification seems to win the battle and will be the cryopreservation method of the future.
近年来,女性生育力的保存至关重要,尤其是对于那些生育力面临有害状况的患者。因此,人类配子、胚胎及卵巢组织的冷冻保存已成为辅助生殖的重要组成部分。这种方法限制了移植胚胎的数量,而多余的卵母细胞和/或胚胎可用于后续的治疗周期。此外,冷冻保存降低了卵巢过度刺激综合征的潜在风险。冷冻保存通过两种技术进行;慢速冷冻法,以及较新的称为玻璃化技术的快速程序。近来,由于玻璃化的成功与简便,这两种方法之间的平衡已向有利于玻璃化的方向转变。由于慢速冷冻法在人工生殖中存在困难、费用高且成功率相对较低,其应用已引发争议。因此,玻璃化似乎赢得了这场竞争,将成为未来的冷冻保存方法。