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体外成熟(IVM)的结果具有可比性,并且可能比标准体外受精(IVF)更具优势。

IVM results are comparable and may have advantages over standard IVF.

作者信息

Ellenbogen A, Shavit T, Shalom-Paz E

机构信息

Obstetrics & Gynecology Department, IVF Unit, Hillel Yaffe Medical Center, Hadera, 38100. Rappaport School of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

出版信息

Facts Views Vis Obgyn. 2014;6(2):77-80.

Abstract

Retrieval of immature oocytes from unstimulated ovaries, followed by in vitro maturation (IVM) was originally proposed in order to avoid side effects of gonadotropin administration. The target is to eliminate or significantly reduce the risk of ovarian hyperstimulation syndrome (OHSS) in patients with polycystic ovary syndrome (PCOS), drug cost and burden on patients. This technology was also suggested in treatment of normo-ovulatory women, fertility preservation or infrequent conditions such as failure of oocytes to mature or repeated development of poor quality embryos. In this study we intended to examine the possibility that IVM results may be comparable to standard IVF. A PubMed database search from 1999-2013 was carried out for publications concerning the indications of IVM and study the possibility that IVM results may be comparable to standard IVF. In vitro maturation of the oocytes procedures obtained up to 35% clinical pregnancy rate in young women, comparable with in vitro fertilization (IVF) in many programs. The obstetric and perinatal outcomes of IVM cycles are comparable with IVF/ICSI cycles. In conclusion IVM may gradually replace IVF in certain cases, as the technique continues to develop and pregnancy rates continue to increase, being a promising and simple alternative approach to standard IVF in various indications.

摘要

从未经刺激的卵巢中获取未成熟卵母细胞,随后进行体外成熟(IVM),最初提出这一方法是为了避免促性腺激素给药的副作用。目标是消除或显著降低多囊卵巢综合征(PCOS)患者发生卵巢过度刺激综合征(OHSS)的风险、药物成本以及患者负担。该技术也被建议用于治疗排卵正常的女性、生育力保存或诸如卵母细胞成熟失败或反复出现低质量胚胎发育等罕见情况。在本研究中,我们旨在探讨IVM结果可能与标准体外受精(IVF)相当的可能性。对1999年至2013年的PubMed数据库进行搜索,以获取有关IVM适应症的出版物,并研究IVM结果可能与标准IVF相当的可能性。卵母细胞体外成熟程序在年轻女性中获得了高达35%的临床妊娠率,在许多项目中与体外受精(IVF)相当。IVM周期的产科和围产期结局与IVF/卵胞浆内单精子注射(ICSI)周期相当。总之,随着该技术不断发展且妊娠率持续提高,IVM在某些情况下可能会逐渐取代IVF,成为各种适应症中标准IVF的一种有前景且简单的替代方法。

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