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比较在胚胎培养箱或台式培养箱中培养的人类胚胎的发育情况。

Comparison of the development of human embryos cultured in either an EmbryoScope or benchtop incubator.

机构信息

Assisted Conception Unit, Royal Infirmary of Edinburgh, EFREC, 51 Little France Crescent, Old Dalkeith Road, Edinburgh, Scotland, EH164SA, UK.

出版信息

J Assist Reprod Genet. 2018 Mar;35(3):515-522. doi: 10.1007/s10815-017-1100-6. Epub 2017 Dec 15.

Abstract

PURPOSE

In this current study, our main goal was to establish that EmbryoScope incubation environment is comparable to standard incubation.

METHODS

The development of sibling human zygotes was compared after culture in either a benchtop incubator (SI) or an EmbryoScope time-lapse incubator (ES). Between May 2015 to April 2016, a total of 581 normally fertilized 2PN, pronuclear-stage embryos, from 47 patients were allocated to culture in either a benchtop incubator (SI) or an EmbryoScope incubator (ES).

RESULTS

The development of embryos to cleavage (up to day 3) and blastocyst stages (day 5/6) was compared between the two different incubators. The proportion of good quality embryos was higher in the ES group compared to the SI on day 2 (66.8 vs. 50.5%, P = 0.014) and on day 3 (75.1 vs. 56.0%, P = 0.006). Those differences were statistically significant. A higher proportion of embryos developed to good quality blastocysts when cultured in the EmbryoScope compared to the benchtop (49.4 vs. 42.0%, P = 0.24), but this was not significant. Finally, no significant differences were noted with the proportion of blastocysts chosen for cryopreservation on day 5/6 in the two incubators.

CONCLUSIONS

The findings support the view that the EmbryoScope incubator supports at least equivalent in vitro development of human embryos compared to other standard incubation methods and may promote improved development during early cleavage stages.

摘要

目的

在本研究中,我们的主要目标是确定胚胎培养箱的培养环境与标准培养环境相当。

方法

比较了在台式培养箱(SI)或胚胎培养箱(ES)中培养的同卵人类受精卵的发育情况。2015 年 5 月至 2016 年 4 月,将 47 名患者的 581 枚正常受精的 2PN 原核期胚胎分别分配到台式培养箱(SI)或胚胎培养箱(ES)中进行培养。

结果

比较了两个不同培养箱中胚胎发育至卵裂(第 3 天)和囊胚(第 5/6 天)的情况。与 SI 组相比,ES 组在第 2 天(66.8%比 50.5%,P=0.014)和第 3 天(75.1%比 56.0%,P=0.006)的优质胚胎比例更高,差异具有统计学意义。与台式培养箱相比,胚胎在胚胎培养箱中发育成优质囊胚的比例更高(49.4%比 42.0%,P=0.24),但差异无统计学意义。最后,两个培养箱在第 5/6 天选择用于冷冻保存的囊胚比例无显著差异。

结论

这些发现支持了这样一种观点,即胚胎培养箱至少可以支持人类胚胎的体外发育与其他标准培养方法相当,并可能促进早期卵裂阶段的发育。

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