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玻璃化冷冻卵子出生儿童的 6 年随访。

Six-year follow-up of children born from vitrified oocytes.

机构信息

Kyono ART Clinic Takanawa, Takanawa, Minatoku Tokyo, Japan.

Kyono ART Clinic Sendai, Sendai Miyagi, Japan.

出版信息

Reprod Biomed Online. 2021 Mar;42(3):564-571. doi: 10.1016/j.rbmo.2020.11.005. Epub 2020 Nov 14.

DOI:10.1016/j.rbmo.2020.11.005
PMID:33402254
Abstract

RESEARCH QUESTION

Are children born from vitrified-warmed oocytes physically or mentally different from naturally conceived children?

DESIGN

Intracytoplasmic sperm injection (ICSI) of vitrified-warmed oocytes was performed for 282 patients (307 cycles) from August 2000 to March 2020. Long-term follow-up of children born from vitrified-warmed oocytes was performed via a questionnaire that was sent to the parents at regular intervals from 3 to 72 months after the child's birth. Questionnaires were sent 11 times from birth to the age of 6 years. The development of motor function and mental status was evaluated as the primary outcome, based on the reported data. Subsequently, patients were divided into four groups by age at oocyte retrieval (20-29, 30-34, 35-39, and 40 years or older). Clinical outcomes were calculated as a secondary outcome.

RESULTS

For the 282 patients, the birth of 116 babies was reported (110 singletons and three sets of twins), and seven cases are, at the time of writing, unconfirmed. The results of the survey found physical parameters in singletons to be equivalent to the nationally reported average data issued by the Ministry of Health, Labor and Welfare of Japan.

CONCLUSION

This is the first follow-up report of children born from vitrified-warmed oocytes followed by ICSI. The data suggested that the responses from the study participants on the mental and physical development of children were comparable to the data reported by the government, although more responses from patients should be collected to allow further study.

摘要

研究问题

通过玻璃化冷冻-解冻复苏的卵母细胞受精孕育的婴儿,在身体或精神方面是否与自然受孕的婴儿有所不同?

设计

自 2000 年 8 月至 2020 年 3 月,通过卵胞浆内单精子注射(ICSI)对 282 名患者(307 个周期)的玻璃化冷冻-解冻复苏卵母细胞进行受精。通过定期向婴儿出生后 3 至 72 个月的父母发送问卷,对通过玻璃化冷冻-解冻复苏卵母细胞孕育的婴儿进行长期随访。从出生到 6 岁,共发送了 11 次问卷。根据报告的数据,将运动功能和精神状态的发育评估作为主要结果。随后,根据取卵时的年龄将患者分为四组(20-29 岁、30-34 岁、35-39 岁和 40 岁及以上)。将临床结局作为次要结局进行计算。

结果

对于 282 名患者,报告了 116 名婴儿的出生情况(110 名单胎和 3 对双胞胎),截至撰写报告时,还有 7 例未确认。调查结果表明,单胎婴儿的身体参数与日本厚生劳动省发布的全国平均数据相当。

结论

这是首例通过玻璃化冷冻-解冻复苏卵母细胞受精并通过 ICSI 孕育的婴儿的后续随访报告。虽然应该从更多的患者收集更多的反馈意见,以进行进一步的研究,但数据表明,研究参与者对儿童精神和身体发育的反馈与政府报告的数据相当。

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