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体外受精-胚胎移植项目中采用间隔双胚胎移植技术后的妊娠情况。

Pregnancies following the interval double-transfer technique in an in vitro fertilization-embryo transfer program.

作者信息

Abramovici H, Dirnfeld M, Weisman Z, Sorokin Y, Lissak A, Rofe A, Sheinfeld M

机构信息

Department of Obstetrics and Gynecology, Carmel Medical Center, Haifa, Israel.

出版信息

J In Vitro Fert Embryo Transf. 1988 Jun;5(3):175-6. doi: 10.1007/BF01131183.

DOI:10.1007/BF01131183
PMID:3171328
Abstract

In 16 women undergoing IVF-ET, with more than four embryos available, two transfers were performed (24 hr apart), instead of one. The pregnancy rate was 25%, as compared with a pregnancy rate of 6.2% in 16 women having fewer than four embryos available and in whom one conventional transfer was performed. Since in our IVF-ET program, we do not freeze the extra embryos available, the purpose of the double transfer was to use all the embryos available and to improve the chances of finding the "implantation window" open. It is our feeling that multiple transfers may be beneficial to improve the pregnancy rate in an IVF-ET program without freezing facilities. However, a larger controlled clinical trial is necessary, in order to establish the advantages of multiple transfers in terms of pregnancy rate in comparison with the potential disadvantages.

摘要

在16名接受体外受精-胚胎移植(IVF-ET)且有超过4个胚胎可用的女性中,进行了两次移植(间隔24小时),而非一次。其妊娠率为25%,相比之下,16名有少于4个可用胚胎且进行了一次传统移植的女性,妊娠率为6.2%。由于在我们的体外受精-胚胎移植项目中,我们不会冷冻多余的可用胚胎,进行两次移植的目的是利用所有可用胚胎,并提高找到“着床窗”开放的几率。我们认为,在没有冷冻设备的体外受精-胚胎移植项目中,多次移植可能有利于提高妊娠率。然而,有必要进行一项更大规模的对照临床试验,以确定多次移植在妊娠率方面相对于潜在劣势的优势。

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本文引用的文献

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Growth rate of follicular estrogen secretion in relation to the outcome of in vitro fertilization and embryo replacement.
Fertil Steril. 1985 Mar;43(3):379-84. doi: 10.1016/s0015-0282(16)48435-9.
2
A new approach to follicular stimulation for in vitro fertilization: programed oocyte retrieval.一种用于体外受精的卵泡刺激新方法:程序化卵母细胞采集。
Fertil Steril. 1986 Oct;46(4):657-62. doi: 10.1016/s0015-0282(16)49644-5.
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Birth after the reimplantation of a human embryo.人类胚胎重新植入后的分娩。
冻融胚胎移植周期中反复着床失败患者的胚胎移植策略:序贯胚胎移植还是双囊胚移植?
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Effect of sequential embryo transfer on fertilization and embryo transfer outcomes: a systematic review and meta-analysis.序贯胚胎移植对受精及胚胎移植结局的影响:一项系统评价与Meta分析
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Stratified analysis of clinical pregnancy outcomes of sequential embryo transfer in frozen embryo transfer cycles based on different factors: a retrospective study.基于不同因素的冻融胚胎移植周期序贯胚胎移植临床妊娠结局的分层分析:一项回顾性研究。
BMC Pregnancy Childbirth. 2023 Nov 21;23(1):806. doi: 10.1186/s12884-023-06111-5.
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Sequential embryo transfer versus double cleavage-stage embryo or double blastocyst transfer in patients with recurrent implantation failure with frozen-thawed embryo transfer cycles: a cohort study.冻融胚胎移植周期中反复着床失败患者行序贯胚胎移植与卵裂期胚胎或囊胚双移植的比较:一项队列研究。
Front Endocrinol (Lausanne). 2023 Sep 8;14:1238251. doi: 10.3389/fendo.2023.1238251. eCollection 2023.
7
Comparing sequential vs day 3 vs day 5 embryo transfers in cases with recurrent implantation failure: randomized controlled trial.在反复着床失败的病例中比较序贯移植与第 3 天和第 5 天胚胎移植:随机对照试验。
JBRA Assist Reprod. 2021 Apr 27;25(2):185-192. doi: 10.5935/1518-0557.20200083.
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Mixed double-embryo transfer: A promising approach for patients with repeated implantation failure.混合双胚胎移植:一种针对反复种植失败患者的有前景的方法。
Clin Exp Reprod Med. 2017 Jun;44(2):105-110. doi: 10.5653/cerm.2017.44.2.105. Epub 2017 Jun 30.
9
Interval double transfer improves treatment success in patients with repeated IVF/ET failures.间隔双重移植可提高反复体外受精/胚胎移植失败患者的治疗成功率。
J Assist Reprod Genet. 2008 Aug;25(8):353-7. doi: 10.1007/s10815-008-9237-y. Epub 2008 Aug 14.
10
Culture of human spare preembryos: association between blastocyst formation and pregnancy.人类备用前胚胎的培养:囊胚形成与妊娠之间的关联。
J Assist Reprod Genet. 1992 Feb;9(1):41-4. doi: 10.1007/BF01204113.
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