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不同冻融胚胎移植周期中解冻后培养期的结局。

The outcome of different post-thawed culture period in frozen-thawed embryo transfer cycle.

机构信息

Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Baiyundadaobei Road, Baiyun District, Guangzhou, 510515, China.

出版信息

J Assist Reprod Genet. 2013 Dec;30(12):1589-94. doi: 10.1007/s10815-013-0120-0. Epub 2013 Oct 25.

DOI:10.1007/s10815-013-0120-0
PMID:24154797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3843182/
Abstract

PURPOSE

To study the influence of post-thawed culture (2-4 h and 20-24 h) on the outcome of frozen-thawed embryo transfer (FET) cycle.

METHODS

In this retrospective study, a total of 1,353 patients were undergoing the FET treatment at the reproductive medical center between June 2010 and July 2012. 3,398 frozen-thawed embryos were divided in two study groups, depending on their post-thawed culture period: short culture (2-4 h) group and long culture (20-24 h) group. Groups were compared including clinical pregnancy rate, implantation rate, spontaneous abortion rate, ectopic pregnancy rate, multiple pregnancy rate, live birth rate and birth weight.

RESULTS

When embryos including at least one grade I embryo after thawed transferred, the clinical pregnancy rate, implantation rate, multiple pregnancy rate, abortion rate, ectopic pregnancy rate, live birth rate and birth weight were similar in the short culture group compared with these in the long culture group.

CONCLUSIONS

The outcomes of the two approaches (short culture and long culture) are no different in FET cycles.

摘要

目的

研究解冻后培养(2-4 小时和 20-24 小时)对冷冻胚胎解冻移植(FET)周期结局的影响。

方法

本回顾性研究共纳入 2010 年 6 月至 2012 年 7 月在生殖医学中心接受 FET 治疗的 1353 例患者。将 3398 枚冷冻解冻胚胎分为两组,根据解冻后的培养时间分为短培养(2-4 小时)组和长培养(20-24 小时)组。比较两组的临床妊娠率、着床率、自然流产率、宫外孕率、多胎妊娠率、活产率和出生体重。

结果

当解冻后移植至少有一枚 I 级胚胎时,短培养组的临床妊娠率、着床率、多胎妊娠率、流产率、宫外孕率、活产率和出生体重与长培养组相似。

结论

FET 周期中两种方法(短培养和长培养)的结局无差异。

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本文引用的文献

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Hum Reprod. 2013 Jul;28(7):1768-75. doi: 10.1093/humrep/det094. Epub 2013 Apr 18.
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Objective way to support embryo transfer: a probabilistic decision.客观的胚胎移植支持方法:概率决策。
Hum Reprod. 2013 May;28(5):1210-20. doi: 10.1093/humrep/det030. Epub 2013 Mar 5.
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Aberrant DNA methylation of imprinted loci in human in vitro matured oocytes after long agonist stimulation.长激动剂刺激后人类体外成熟卵母细胞印迹基因座的异常 DNA 甲基化。
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Assisted reproductive technology in Europe, 2008: results generated from European registers by ESHRE.欧洲的辅助生殖技术,2008:ESHRE 从欧洲登记处获得的结果。
Hum Reprod. 2012 Sep;27(9):2571-84. doi: 10.1093/humrep/des255. Epub 2012 Jul 10.
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Outcomes of day 3 embryo transfer with vitrification using Cryoleaf: a 3-year follow-up study.使用 Cryoleaf 进行玻璃化 3 天胚胎移植的结局:一项 3 年随访研究。
J Assist Reprod Genet. 2012 Sep;29(9):883-9. doi: 10.1007/s10815-012-9814-y. Epub 2012 Jun 10.
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Influence of post-thaw culture on the developmental potential of human frozen embryos.冻融后培养对人类冷冻胚胎发育潜能的影响。
J Assist Reprod Genet. 2012 Aug;29(8):789-95. doi: 10.1007/s10815-012-9793-z. Epub 2012 May 22.
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Transfer of human frozen-thawed embryos with further cleavage during culture increases pregnancy rates.移植培养过程中进一步分裂的人类冻融胚胎可提高妊娠率。
J Hum Reprod Sci. 2010 May;3(2):76-9. doi: 10.4103/0974-1208.69340.
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Frozen-thawed transfer cycles: are they comparable with fresh?冻融胚胎移植周期:它们与新鲜胚胎移植周期可比吗?
Ir Med J. 2008 Jun;101(6):181-4.
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A randomized controlled study of human Day 3 embryo cryopreservation by slow freezing or vitrification: vitrification is associated with higher survival, metabolism and blastocyst formation.一项关于人类第三天胚胎通过慢速冷冻或玻璃化冷冻保存的随机对照研究:玻璃化冷冻与更高的存活率、代谢率和囊胚形成率相关。
Hum Reprod. 2008 Sep;23(9):1976-82. doi: 10.1093/humrep/den222. Epub 2008 Jun 10.
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Day 3 compared with day 2 cryopreservation does not affect embryo survival but improves the outcome of frozen-thawed embryo transfers.与第2天相比,第3天进行冷冻保存不会影响胚胎存活率,但会改善冻融胚胎移植的结果。
Fertil Steril. 2006 Nov;86(5):1537-40. doi: 10.1016/j.fertnstert.2006.03.046. Epub 2006 Sep 14.