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随机前瞻性研究比较传统的体外受精技术与 INVOCELL™ 装置 3 天和 5 天的阴道内培养。

Randomized prospective study comparing conventional In Vitro Fertilization technique to Intravaginal Culture with the INVOCELL™ device for 3 and 5 days.

机构信息

Centro de Infertilidade e Medicina Fetal do Norte Fluminense, Campos dos Goytacazes, RJ, Brasil.

Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, UFRJ, RJ, Brasil.

出版信息

JBRA Assist Reprod. 2023 Sep 12;27(3):360-366. doi: 10.5935/1518-0557.20220042.

Abstract

OBJECTIVE

The objective was to analyse and compare the formation and quality of the embryos developed using conventional in vitro fertilization (IVF) and IVC techniques with an INVOCell™ device.

METHODS

Two groups were formed, with eight couples in each, one in culture for three days (D3) and another in culture for five days (D5), using intravaginal culture technique with an INVOcell device and a conventional in vitro fertilization technique.

RESULTS

Embryo formation in Group D5 showed 46.7% (IVC) and 40% (IVF) of recovered blastocysts. In the group D5, the conventional IVF, better embryo development dynamics was observed, with 66% of expanded blastocysts, against 28% in the IVC. Group D3 showed 75% (IVC) and 53% (IVF) of embryo formation. Embryonic quality in Group D3 demonstrated that IVF embryos had a better synchrony in the number and quality of blastomeres. All embryos recovered in Group D3, in both techniques, did not show fragmentation. The pH of the medium contained in the INVOCell™ device in both Groups D5 and D3 showed no differences. The means were 7.26 and 7.25, respectively. The pH of the medium used in IVF was 7.29 in both groups. Microbiological analyzes of the culture media contained in the INVOCell™ devices used in Group D5 were negative.

CONCLUSIONS

The results showed that the IVC technique, using the INVOCell™ device, provided a healthy and balanced environment for the development and obtaining of quality embryos with three and five days of culture.

摘要

目的

分析和比较使用常规体外受精(IVF)和 IVC 技术与 INVOCell™ 设备培养的胚胎的形成和质量。

方法

形成两组,每组 8 对,一组在培养箱中培养 3 天(D3),另一组在培养箱中培养 5 天(D5),使用阴道内培养技术和 INVOcell 设备以及常规体外受精技术。

结果

D5 组胚胎形成显示回收的囊胚分别为 46.7%(IVC)和 40%(IVF)。在 D5 组中,常规 IVF 观察到更好的胚胎发育动力学,有 66%的扩张囊胚,而 IVC 为 28%。D3 组显示胚胎形成分别为 75%(IVC)和 53%(IVF)。D3 组胚胎质量表明 IVF 胚胎在卵裂球的数量和质量上具有更好的同步性。在两种技术中,D3 组中回收的所有胚胎均未出现碎片。D5 和 D3 组中 INVOCell™ 设备中包含的培养基的 pH 值没有差异。平均值分别为 7.26 和 7.25。两组 IVF 中使用的培养基的 pH 值均为 7.29。D5 组中使用的 INVOCell™ 设备中包含的培养基的微生物分析均为阴性。

结论

结果表明,IVC 技术使用 INVOCell™ 设备为培养 3 天和 5 天的胚胎的发育和获得提供了健康和平衡的环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d68/10712802/c6adf1cd71f0/jbra-27-03-0360-g01.jpg

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