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宫腔内人工授精(IUI)前将制备好的精子样本在室温或37℃下保存对临床妊娠率的影响。

The effect of preserving prepared sperm samples at room temperature or at 37 °C before intrauterine insemination (IUI) on clinical pregnancy rate.

作者信息

Çok Tayfun, Çağlar Aytaç Pınar, Şimşek Erhan, Haydardedeoğlu Bülent, Kalaycı Hakan, Özdemir Halis, Bulgan Kılıçdağ Esra

机构信息

Başkent University Faculty of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey.

出版信息

Turk J Obstet Gynecol. 2015 Mar;12(1):6-10. doi: 10.4274/tjod.31644. Epub 2015 Mar 15.

Abstract

OBJECTIVE

The comparison of the effect of preserving prepared sperm samples at room temperature or at 37 °C before intrauterine insemination (IUI) on clinical pregnancy rate.

MATERIALS AND METHODS

Retrospective clinical research. University hospital, infertility clinic. Patients with one or two follicles, between the ages of 20 and 40, whose infertility period was less than 6 years and the injected total motile sperm count was more than 10 million. Preserving sperm samples prepared for IUI at 37 ºC or at room temperature before IUI. The clinical pregnancy rate of IUI cycles between 1 of January 2004 and 1 of December 2011 in which prepared sperm samples were preserved at 37 ºC and the clinical pregnancy rate of IUI cycles between 1 of December 2011 and 31 of May 2014 in which prepared sperm samples preserved at room temperature.

RESULTS

Clinical pregnancy rates were similar in IUI cycles in which prepared sperm samples were preserved at 37 ºC and at room temperature (9.3% vs. 8.9%). Clinical pregnancy rates in IUI cycles with 2 follicles were higher than IUI cycles with 1 follicle (10.8% vs. 7.6%) (p=0.002). Further statistical analysis after splitting data according to the number of the follicles revealed that there was no statistical difference between clinical pregnancy rates after IUI cycles in which prepared sperm samples were preserved at 37 ºC or at room temperature in both one follicle (7.6% vs. 7.6%), and two follicle cycles (11.5% vs. 10.1%).

CONCLUSIONS

Preserving prepared sperm samples at room temperature had no negative effect on clinical pregnancy rates when compared with reserving prepared sperm samples at 37 ºC during IUI cycles.

摘要

目的

比较宫腔内人工授精(IUI)前将制备好的精子样本保存在室温或37℃对临床妊娠率的影响。

材料与方法

回顾性临床研究。大学医院不孕症门诊。年龄在20至40岁之间,不孕年限少于6年且注射的总活动精子数超过1000万,有一个或两个卵泡的患者。IUI前将为IUI制备的精子样本保存在37℃或室温下。2004年1月1日至2011年12月1日期间,制备好的精子样本保存在37℃的IUI周期的临床妊娠率,以及2011年12月1日至2014年5月31日期间,制备好的精子样本保存在室温下的IUI周期的临床妊娠率。

结果

制备好的精子样本保存在37℃和室温下的IUI周期的临床妊娠率相似(9.3%对8.9%)。有2个卵泡的IUI周期的临床妊娠率高于有1个卵泡的IUI周期(10.8%对7.6%)(p = 0.002)。根据卵泡数量对数据进行拆分后的进一步统计分析显示,在一个卵泡(7.6%对7.6%)和两个卵泡周期(11.5%对10.1%)中,制备好的精子样本保存在37℃或室温下的IUI周期后的临床妊娠率之间均无统计学差异。

结论

与IUI周期中将制备好的精子样本保存在37℃相比,在室温下保存对临床妊娠率没有负面影响。

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