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研究在卵裂期、桑椹胚期和囊胚期对人胚胎进行玻璃化冷冻和解冻后的移植结果。

Investigation of transfer results of human embryos that were vitrified and thawed at the cleavage, morula and blastocyst stages.

机构信息

Gülhane Training and Research Hospital, Department of Gynecology and Obstetrics Reproductive Medical Center, University of Health SciencesEtlik, Ankara, Turkey.

出版信息

Zygote. 2020 Jun;28(3):191-195. doi: 10.1017/S0967199419000777. Epub 2020 Mar 20.

DOI:10.1017/S0967199419000777
PMID:32192547
Abstract

The objective of this study was to compare the rates of clinical pregnancy after the transfer of vitrified and thawed human embryos on days 3, 4 and 5 of embryonic development. In this retrospective study, the results of 148 embryo transfer cycles, using embryos frozen and thawed over the 3-year period between January 2016 and December 2018 at the Gülhane Training and Research Hospital Department of Gynecology and Obsterics Reproductive Medical Center of the University of Health Sciences, Ankara, Turkey were examined. Following embryo transfer - including 29 dissolved embryos frozen on day 3, 80 frozen on day 4, and 39 frozen on day 5 - results were examined in terms of clinical pregnancy rates. In this study, across all three groups, no significant differences were observed in terms of patient age, the number of oocytes collected, infertility reasons, the number of embryos dissolved, transfer day, or the number of embryos transferred. According to the transfer day, the rates of clinical pregnancy and ongoing pregnancy were significantly higher for embryos frozen on day 4 and transferred on day 5. Significantly higher rates of pregnancy and live birth were determined during in vitro fertilization (IVF) treatment with the freezing of human embryos on day 4 and the transfer of those embryos on day 5.

摘要

本研究的目的是比较在胚胎发育第 3、4 和 5 天移植玻璃化和解冻的人类胚胎的临床妊娠率。在这项回顾性研究中,检查了 2016 年 1 月至 2018 年 12 月期间在土耳其安卡拉卫生科学大学古尔哈内培训和研究医院妇产科生殖医学中心冷冻和解冻的 148 个胚胎转移周期的结果。包括第 3 天解冻的 29 个胚胎、第 4 天解冻的 80 个胚胎和第 5 天解冻的 39 个胚胎在内的胚胎转移后,根据临床妊娠率检查了结果。在这项研究中,所有三组患者的年龄、采集的卵子数量、不孕原因、溶解的胚胎数量、转移日或转移的胚胎数量均无显著差异。根据转移日,第 4 天冷冻和第 5 天转移的胚胎的临床妊娠率和持续妊娠率显著更高。第 4 天冷冻人类胚胎和第 5 天转移这些胚胎的体外受精 (IVF) 治疗确定了更高的妊娠率和活产率。

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1
Investigation of transfer results of human embryos that were vitrified and thawed at the cleavage, morula and blastocyst stages.研究在卵裂期、桑椹胚期和囊胚期对人胚胎进行玻璃化冷冻和解冻后的移植结果。
Zygote. 2020 Jun;28(3):191-195. doi: 10.1017/S0967199419000777. Epub 2020 Mar 20.
2
Day 4 good morula embryo transfer provided compatible live birth rate with day 5 blastocyst embryo in fresh IVF/ET cycles.在新鲜体外受精/胚胎移植周期中,第4天优质桑葚胚移植的活产率与第5天囊胚移植相当。
Taiwan J Obstet Gynecol. 2018 Feb;57(1):52-57. doi: 10.1016/j.tjog.2017.12.008.
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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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Clinical outcomes following cryopreservation of blastocysts by vitrification or slow freezing: a population-based cohort study.玻璃化或慢速冷冻法冻存囊胚后的临床结局:一项基于人群的队列研究。
Hum Reprod. 2014 Dec;29(12):2794-801. doi: 10.1093/humrep/deu246. Epub 2014 Oct 14.
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The optimal number of embryo cells for effective pregnancy and decrease of multiple pregnancy rate in frozen-thawed embryo transfer.在冻融胚胎移植中,为了提高受孕率并降低多胎妊娠率,胚胎细胞的最佳数量。
Hum Cell. 2021 May;34(3):836-846. doi: 10.1007/s13577-021-00516-0. Epub 2021 Mar 10.
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Fertility and neonatal outcomes of embryos achieving blastulation on Day 7: are they of clinical value?第 7 天孵育的胚胎的生育力和新生儿结局:它们有临床价值吗?
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Vitrification can modify embryo cleavage stage after warming. Should we change endometrial preparation?玻璃化可以改变胚胎解冻后的卵裂期。我们是否应该改变子宫内膜的准备?
J Assist Reprod Genet. 2012 Dec;29(12):1363-8. doi: 10.1007/s10815-012-9881-0. Epub 2012 Nov 22.
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Thawing day 3 embryos and culturing to day 5 may be a better method for frozen embryo transfer.将胚胎解冻至第 3 天并培养至第 5 天可能是冷冻胚胎移植的更好方法。
J Assist Reprod Genet. 2021 Nov;38(11):2941-2946. doi: 10.1007/s10815-021-02321-y. Epub 2021 Sep 22.
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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。
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Pregnancy and birth outcomes following fresh or vitrified embryo transfer according to blastocyst morphology and expansion stage, and culturing strategy for delayed development.根据囊胚形态和扩张阶段进行新鲜或玻璃化胚胎移植后的妊娠及分娩结局,以及延迟发育的培养策略。
Hum Reprod. 2016 Aug;31(8):1685-95. doi: 10.1093/humrep/dew127. Epub 2016 Jun 6.

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Pregnancy Outcomes of Single/Double Blastocysts and Cleavage Embryo Transfers: a Retrospective Cohort Study of 24,422 Frozen-Thawed Cycles.单囊胚/双囊胚和卵裂期胚胎移植的妊娠结局:24422 个冷冻-解冻周期的回顾性队列研究。
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