Nishihara Takuji, Morimoto Yoshiharu
Division of Culture Environment HORAC Grand Front Osaka Clinic Osaka Japan.
Reprod Med Biol. 2017 Aug 18;16(4):349-353. doi: 10.1002/rmb2.12051. eCollection 2017 Oct.
The aim of the present prospective study was to investigate the efficacy of hyaluronan (HA) using two different concentrations as embryo transfer media for in vitro fertilization embryo transfer cycles.
A total of 169 cycles undergoing fresh embryo transfer on day 2 or 3, 561 cycles undergoing frozen-thawed embryo transfer on day 2 or 3, and 484 cycles of frozen-thawed blastocyst transfer were included in this study. Patients were randomly divided into two groups: transferred with low (l-HA) or high (h-HA) concentrations of HA in transfer media.
In the case of fresh embryo transfer cycles, no significant differences were observed in the pregnancy (l-HA 27.2%, h-HA 31.2%), implantation (l-HA 22.1%, h-HA 24.2%), or abortion (l-HA 24.0%, h-HA 20.8%) rates between the two groups. In the case of frozen-thawed embryo transfer cycles, no significant differences were noted in the pregnancy (l-HA 20.9%, h-HA 22.9%), implantation (l-HA 13.4%, h-HA 15.8%), or abortion (l-HA 17.2%, h-HA 21.5%) rates. In the case of frozen-thawed blastocyst transfer cycles, no significant differences were observed in the pregnancy (l-HA 46.0%, h-HA 41.8%), implantation (l-HA 45.8%, h-HA 41.3%), or abortion (l-HA 17.6%, h-HA 26.9%) rates.
The present results showed that pregnancy, implantation, and abortion rates with transfer media containing different HA concentrations were similar.
本前瞻性研究的目的是调查使用两种不同浓度的透明质酸(HA)作为体外受精胚胎移植周期的胚胎移植培养基的疗效。
本研究纳入了169个在第2天或第3天进行新鲜胚胎移植的周期、561个在第2天或第3天进行冻融胚胎移植的周期以及484个冻融囊胚移植的周期。患者被随机分为两组:在移植培养基中使用低浓度(l-HA)或高浓度(h-HA)的HA进行移植。
在新鲜胚胎移植周期中,两组之间的妊娠率(l-HA 27.2%,h-HA 31.2%)、着床率(l-HA 22.1%,h-HA 24.2%)或流产率(l-HA 24.0%,h-HA 20.8%)均未观察到显著差异。在冻融胚胎移植周期中,妊娠率(l-HA 20.9%,h-HA 22.9%)、着床率(l-HA 13.4%,h-HA 15.8%)或流产率(l-HA 17.2%,h-HA 21.5%)也未观察到显著差异。在冻融囊胚移植周期中,妊娠率(l-HA 46.0%,h-HA 41.8%)、着床率(l-HA 45.8%,h-HA 41.3%)或流产率(l-HA 17.6%,h-HA 26.9%)同样未观察到显著差异。
目前的结果表明,含有不同HA浓度的移植培养基的妊娠率、着床率和流产率相似。