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初次精液检查中精液氧化还原电位与体外受精结局的关系。

Relation between semen oxidative reduction potential in initial semen examination and IVF outcomes.

作者信息

Tomita Kazuhisa, Udayanga Kankanam Gamage Sanath, Satoh Manabu, Hashimoto Shu, Morimoto Yoshiharu

机构信息

HORAC Grand Front Osaka Clinic Osaka Japan.

IVF Namba Clinic Osaka Japan.

出版信息

Reprod Med Biol. 2023 Jan 28;22(1):e12501. doi: 10.1002/rmb2.12501. eCollection 2023 Jan-Dec.

Abstract

PURPOSE

The MiOXSYS system is a new technique to analyze the semen oxidative reduction potential (ORP) that may use to classify the level of sperm DNA integrity. It does not clearly explain how the semen ORP values could help to change the IVF outcomes. We have analyzed correlations between semen ORP value and the IVF results.

METHODS

Four hundred and thirty couples were enrolled. The male counterparts were divided into two groups according to their semen ORP values and compared the fertilization rate, cell cleavage rate, and embryo quality, following the IVF procedures. The relations between ORP values and the clinical pregnancy, live birth, and abortion rates were analyzed.

RESULTS

The ORP values show negative and positive correlations with some conventional semen parameters. The fertilization and the cleavage rate did not show any differences in those two groups, but the transferable embryo rate was significantly high in patients with high semen ORP. However, the patients with high ORP show a tendency to lower clinical pregnancy with a low abortion rate compared to the low ORP group.

CONCLUSION

The main purpose of measuring the ORP value in semen is still questionable and shows controversial results.

摘要

目的

MiOXSYS系统是一种分析精液氧化还原电位(ORP)的新技术,可用于对精子DNA完整性水平进行分类。但它并未明确解释精液ORP值如何有助于改变体外受精(IVF)结果。我们分析了精液ORP值与IVF结果之间的相关性。

方法

招募了430对夫妇。根据男性伴侣的精液ORP值将其分为两组,并在IVF程序后比较受精率、细胞分裂率和胚胎质量。分析了ORP值与临床妊娠、活产和流产率之间的关系。

结果

ORP值与一些传统精液参数呈负相关和正相关。两组的受精率和分裂率没有差异,但精液ORP值高的患者可移植胚胎率显著更高。然而,与低ORP组相比,高ORP患者临床妊娠率有降低趋势且流产率较低。

结论

测量精液中ORP值的主要目的仍存在疑问,且结果存在争议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cec8/9884324/d669ae4d9791/RMB2-22-e12501-g002.jpg

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