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复方氨基酸胶囊对梗阻性无精子症患者经皮附睾精子抽吸术及卵胞浆内单精子注射术后的治疗作用

[Medication of Compound Amino Acid Capsules for obstructive azoospermia patients undergoing percutaneous epididymal sperm aspiration and intracytoplasmic sperm injection].

作者信息

Gu Long-Jie, Jin Lei, Yang Liu, Yang Juan, Wang Cheng, Yin Li

机构信息

Department of Urology,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan ,Hubei 430030, China.

Center of Reproductive Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan ,Hubei 430030, China.

出版信息

Zhonghua Nan Ke Xue. 2019 Oct;25(10):905-908.

Abstract

OBJECTIVE

To investigate the effects of Compound Amino Acid Capsules (CAAC) for obstructive azoospermia (OA) patients undergoing percutaneous epididymal sperm aspiration (PESA) and ICSI.

METHODS

We retrospectively studied 134 cycles of PESA-ICSI in OA males, who were divided into a CAAC group (n = 64) and a control group (n = 70), the former, aged (32.1 ± 5.7) years, treated with CAAC for 3 months before PESA-ICSI while the latter, aged (32.3 ± 4.5) years, left untreated. We compared the rates fertilization, cleavage, high-quality embryos and blastocyst formation between the two groups of patients.

RESULTS

Compared with the control, the CAAC group achieved significantly higher rates of high-quality embryos ([67.4 ± 13.8]% vs [74.3 ± 12.6]%, P < 0.05) and blastocyst formation ([60.3±14.2]% vs [66.8±14.6]%, P < 0.05), but no statistically significant differences were observed between the two groups in the ages of the males and females, number of oocytes retrieved, or the rates of fertilization and cleavage.

CONCLUSIONS

Medication of Compound Amino Acid Capsules can effectively improve the rates of high-quality embryos and blastocyst formation in obstructive azoospermia patients undergoing PESA-ICSI.

摘要

目的

探讨复方氨基酸胶囊(CAAC)对接受经皮附睾精子抽吸术(PESA)和卵胞浆内单精子注射(ICSI)的梗阻性无精子症(OA)患者的影响。

方法

我们回顾性研究了134例OA男性患者的PESA-ICSI周期,将其分为CAAC组(n = 64)和对照组(n = 70),前者年龄为(32.1±5.7)岁,在PESA-ICSI前接受CAAC治疗3个月,而后者年龄为(32.3±4.5)岁,未接受治疗。我们比较了两组患者的受精率、卵裂率、优质胚胎率和囊胚形成率。

结果

与对照组相比,CAAC组的优质胚胎率([67.4±13.8]%对[74.3±12.6]%,P<0.05)和囊胚形成率([60.3±14.2]%对[66.8±14.6]%,P<0.05)显著更高,但两组在男性和女性年龄、获卵数、受精率和卵裂率方面未观察到统计学显著差异。

结论

复方氨基酸胶囊用药可有效提高接受PESA-ICSI的梗阻性无精子症患者的优质胚胎率和囊胚形成率。

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