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辅助生殖技术诊所中卵母细胞剥除时间和胞浆内单精子注射时间对胚胎质量的影响——一项横断面研究。

The effect of oocyte denudation time and intracytoplasmic sperm injection time on embryo quality at assisted reproductive technology clinic - A cross-sectional study.

作者信息

Tjahyadi Dian, Susiarno Hadi, Chandra Bondan Aria, Permadi Wiryawan, Djuwantono Tono, Wiweko Budi

机构信息

Department of Obstetrics and Gynecology Faculty of Medicine Padjadjaran University / Hasan Sadikin Hospital Bandung, Indonesia.

Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia, Indonesia.

出版信息

Ann Med Surg (Lond). 2022 Aug 6;80:104234. doi: 10.1016/j.amsu.2022.104234. eCollection 2022 Aug.

Abstract

BACKGROUND

This study aims to determine whether there is an effect of oocyte denudation time and ICSI time on embryo quality at assisted reproductive Technology clinic.

METHODS

An observational analytic retrospective study was conduct using cross-sectional study. The subject were oocytes from fertilization procedures using the ICSI method at the assisted reproductive technology clinic in a private hospital in Bandung for the period 2017 - 2019. Three variables were oocyte denudation time, ICSI time and embryo quality collected from samples that met the research criteria. Data will be grouped based on denudation time (T) and Intracytoplasmic Sperm Injection time (T).

RESULT

From the 5 groups of denudation time; 3-4 hours, 4-5 hours, 5-6 hours, 6-7 hours and more than 7 hours group, the denudation time of 3-4 hours group showed the highest number (66.7%) for excellent embryo quality results, while denudation time of more than 7 hours showed the lowest number (29.2%) for excellent embryo quality results with p < 0.001. From these figures, it shows that the ICSI time of 3-4 hours is superior to the ICSI time of 2-3 hours because the outcome of excellent embryo quality is higher while the outcome of poor embryo quality is lower, although the difference is not significant (p = 0.140).

CONCLUSION

This study shows there was a significant difference in the effect of oocyte denudation time on embryo quality at assisted reproductive technology clinic. There was no significant difference in the effect of intracytoplasmic sperm injection (ICSI) time on embryo quality at assisted reproductive technology clinic.

摘要

背景

本研究旨在确定在辅助生殖技术诊所中,卵母细胞去透明带时间和卵胞浆内单精子注射(ICSI)时间对胚胎质量是否有影响。

方法

采用横断面研究进行观察性分析回顾性研究。研究对象为2017年至2019年期间在万隆一家私立医院的辅助生殖技术诊所中使用ICSI方法进行受精程序的卵母细胞。从符合研究标准的样本中收集三个变量,即卵母细胞去透明带时间、ICSI时间和胚胎质量。数据将根据去透明带时间(T)和卵胞浆内单精子注射时间(T)进行分组。

结果

在5组去透明带时间中,即3 - 4小时、4 - 5小时、5 - 6小时、6 - 7小时和超过7小时组,3 - 4小时组的优质胚胎质量结果数量最高(66.7%),而超过7小时组的优质胚胎质量结果数量最低(29.2%),p < 0.001。从这些数据来看,3 - 4小时的ICSI时间优于2 - 3小时的ICSI时间,因为优质胚胎质量的结果更高,而劣质胚胎质量的结果更低,尽管差异不显著(p = 0.140)。

结论

本研究表明,在辅助生殖技术诊所中,卵母细胞去透明带时间对胚胎质量的影响存在显著差异。在辅助生殖技术诊所中,卵胞浆内单精子注射(ICSI)时间对胚胎质量的影响没有显著差异。

相似文献

本文引用的文献

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A review of ten years experience of ICSI.卵胞浆内单精子注射十年经验回顾。
Hum Reprod Update. 2004 Jan-Feb;10(1):19-28. doi: 10.1093/humupd/dmh004.
8
Intracytoplasmic sperm injection.胞浆内单精子注射
Mol Cell Endocrinol. 2002 Jan 25;186(2):199-203. doi: 10.1016/s0303-7207(01)00658-x.

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