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对使用玻璃化冷冻与改良慢速冷冻方案冷冻保存的双原核(2PN)胚胎和第3天多细胞胚胎的结局进行前瞻性比较。

A prospective comparison of outcome following cryopreservation using vitrification vs. a modified slow-freeze protocol of 2 pronuclear (2PN) and day 3 multi-cell embryos.

作者信息

Summers D, Check J H, Choe J K

出版信息

Clin Exp Obstet Gynecol. 2016;43(3):330-1.

PMID:27328484
Abstract

PURPOSE

To compare the efficacy of vitrification of 2 pronuclear and day 3 cleavage stage embryo vs. a modified slow freeze protocol that historically has achieved good survival and pregnancy rates at these stages.

MATERIALS AND METHODS

Embryos were randomly assigned by day to freezing at the 2 proncular stage or day 3 cleavage stage embryos by either vitrification or a modified slow freeze protocol. Comparisons were made for survival rate, cleaveage rate, and pregnancy rate.

RESULTS

The results were comparable with a slight edge to vitrification. Only the implantation rates of day 3 cleavage staged embryos (75% vs. 30.4%) showed a significant difference.

CONCLUSIONS

Vitrification seems to be equally or possibly slightly superior to freezing embryos at the 2 pronuclear or day 3 cleavage stage vs. a modified slow freeze protocol that had been previously found to be superior to the slow freeze method of LaSalle-Testart.

摘要

目的

比较双原核期和第3天卵裂期胚胎玻璃化冷冻与一种改良慢速冷冻方案的效果,该改良方案在这些阶段历来具有良好的存活率和妊娠率。

材料与方法

根据日期将胚胎随机分配,通过玻璃化冷冻或改良慢速冷冻方案,在双原核期或第3天卵裂期进行冷冻。比较存活率、卵裂率和妊娠率。

结果

结果相当,玻璃化冷冻略占优势。仅第3天卵裂期胚胎的着床率(75%对30.4%)显示出显著差异。

结论

与先前发现优于拉萨尔 - 泰斯塔尔慢速冷冻方法的改良慢速冷冻方案相比,玻璃化冷冻在双原核期或第3天卵裂期冷冻胚胎方面似乎同样有效或可能略胜一筹。

相似文献

1
A prospective comparison of outcome following cryopreservation using vitrification vs. a modified slow-freeze protocol of 2 pronuclear (2PN) and day 3 multi-cell embryos.对使用玻璃化冷冻与改良慢速冷冻方案冷冻保存的双原核(2PN)胚胎和第3天多细胞胚胎的结局进行前瞻性比较。
Clin Exp Obstet Gynecol. 2016;43(3):330-1.
2
Vitrification of cleavage stage day 3 embryos results in higher live birth rates than conventional slow freezing: a RCT.玻璃化冷冻第三天卵裂期胚胎的活产率高于常规慢速冷冻:一项 RCT 研究。
Hum Reprod. 2015 Aug;30(8):1820-30. doi: 10.1093/humrep/dev134. Epub 2015 Jun 18.
3
A randomized controlled trial comparing two vitrification methods versus slow-freezing for cryopreservation of human cleavage stage embryos.一项比较两种玻璃化方法与慢速冷冻法用于人类卵裂期胚胎冷冻保存的随机对照试验。
J Assist Reprod Genet. 2014 Feb;31(2):241-7. doi: 10.1007/s10815-013-0145-4. Epub 2013 Dec 8.
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[Comparison of vitrification and slow-freezing of human day 3 cleavage stage embryos: post-vitrification development and pregnancy outcomes].[人类第3天卵裂期胚胎玻璃化冷冻与慢速冷冻的比较:玻璃化冷冻后的发育及妊娠结局]
Zhonghua Fu Chan Ke Za Zhi. 2007 Nov;42(11):753-5.
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The freezing method of cleavage stage embryos has no impact on the weight of the newborns.卵裂期胚胎的冷冻方法对新生儿体重没有影响。
J Assist Reprod Genet. 2016 Mar;33(3):393-399. doi: 10.1007/s10815-015-0642-8. Epub 2016 Jan 9.
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Cryopreservation of day 2-3 embryos by vitrification yields better outcome than slow freezing.玻璃化冷冻法对第 2-3 天的胚胎进行冷冻保存比慢速冷冻法效果更好。
Gynecol Endocrinol. 2014 Mar;30(3):202-4. doi: 10.3109/09513590.2013.875995. Epub 2014 Jan 7.
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Human cleavage-stage embryo vitrification is comparable to slow-rate cryopreservation in cycles of assisted reproduction.人类卵裂期胚胎玻璃化冷冻与慢速冷冻在辅助生殖周期中具有可比性。
J Assist Reprod Genet. 2010 Sep;27(9-10):549-54. doi: 10.1007/s10815-010-9452-1. Epub 2010 Jul 17.
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Influence of cell loss after vitrification or slow-freezing on further in vitro development and implantation of human Day 3 embryos.玻璃化或慢速冷冻后细胞丢失对人第三天胚胎体外进一步发育和植入的影响。
Hum Reprod. 2013 Nov;28(11):2943-9. doi: 10.1093/humrep/det356. Epub 2013 Sep 5.
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Slow freezing should not be totally substituted by vitrification when applied to day 3 embryo cryopreservation: an analysis of 5613 frozen cycles.在应用于第3天胚胎冷冻保存时,慢速冷冻不应完全被玻璃化替代:对5613个冷冻周期的分析
J Assist Reprod Genet. 2015 Sep;32(9):1371-7. doi: 10.1007/s10815-015-0545-8. Epub 2015 Aug 4.
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[Comparison of frozen embryo transfer outcomes at blastocyst stage according to freezing method and type of endometrial preparation].[根据冷冻方法和子宫内膜准备类型比较囊胚期冻融胚胎移植结局]
Gynecol Obstet Fertil. 2015 Mar;43(3):219-24. doi: 10.1016/j.gyobfe.2015.01.012. Epub 2015 Feb 21.

引用本文的文献

1
Vitrification of human blastocysts for couples undergoing assisted reproduction: an updated review.用于接受辅助生殖的夫妇的人类囊胚玻璃化:最新综述。
Front Cell Dev Biol. 2024 May 17;12:1398049. doi: 10.3389/fcell.2024.1398049. eCollection 2024.
2
Oocyte, embryo and blastocyst cryopreservation in ART: systematic review and meta-analysis comparing slow-freezing versus vitrification to produce evidence for the development of global guidance.辅助生殖技术中卵母细胞、胚胎和囊胚冷冻保存:比较慢速冷冻与玻璃化冷冻的系统评价和荟萃分析,为制定全球指南提供证据。
Hum Reprod Update. 2017 Mar 1;23(2):139-155. doi: 10.1093/humupd/dmw038.