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甲状腺疾病对辅助生殖技术临床结局的影响:过去10年的系统研究方法。

The impact of thyroid disorders on the clinical outcome of assisted reproductive techniques: a systematic approach over the last 10 years.

作者信息

Teixeira Clara Andrade, Morais Ana Normélia Pereira de, Moura Gabriel Acácio de, Gomes Isadora de Almeida, Souza Sabrina Vieira de, Dias Mônica Odilha Magalhães, Lima Ana Beatriz Rocha, Monteiro Paula Bruno

机构信息

Christus University Center (UNICHRISTUS), Fortaleza-CE, Brazil.

Laboratory of Manipulation of Oocytes and Preantral Follicles, Post-Graduate Program in Physiological Sciences (PPGCF), State University of Ceará (UECE), Fortaleza-CE, Brazil.

出版信息

JBRA Assist Reprod. 2023 Aug 14;27(4):709-16. doi: 10.5935/1518-0557.20230024.

DOI:10.5935/1518-0557.20230024
PMID:37579266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10718547/
Abstract

OBJECTIVE

To verify from a systematic literature review the possible effects of thyroid diseases on assisted reproduction techniques.

DATA SOURCES

The studies were analyzed from the PubMed, Cochrane Library, LILACS databases.

SELECTION OF STUDIES

The articles selected for the review included: cross-sectional studies, cohort studies, and clinical trials that addressed the proposed theme and which were published within the period stipulated from January 1, 2012, to March 5, 2022, in English, Portuguese and Spanish. These would later have to go through stages of inclusion as a framework of the type of study and exclusion criteria that were review articles, case reports, abstracts, articles with animal models, and duplicate articles and letters to the editor.

DATA COLLECTION

Author's name; Number of patients; Clinical outcome; Use of drugs; Control group (in case it had); Clinical outcome.

DATA SYNTHESIS

In in vitro fertilization and intracytoplasmic sperm injection it was verified that thyroid diseases can lead to effects such as a reduction in the rate of recovered oocytes, a decrease in the number of embryos, lower pregnancy rates, and increased chances of congenital anomalies in these patients and a reduction in the rate of implantation. Levothyroxine can increase the number of cycle cancellations.

CONCLUSIONS

Thyroid diseases may have deleterious effects on the clinical outcome of in vitro fertilization and intracytoplasmic sperm injection.

摘要

目的

通过系统的文献综述验证甲状腺疾病对辅助生殖技术可能产生的影响。

数据来源

从PubMed、Cochrane图书馆、LILACS数据库中分析相关研究。

研究选择

纳入综述的文章包括:横断面研究、队列研究和临床试验,这些研究涉及所提出的主题,且于2012年1月1日至2022年3月5日期间以英文、葡萄牙文和西班牙文发表。这些文章随后必须经过纳入阶段,作为研究类型框架以及排除标准,即综述文章、病例报告、摘要、有动物模型的文章、重复文章以及给编辑的信件。

数据收集

作者姓名;患者数量;临床结果;药物使用情况;对照组(若有);临床结果。

数据综合

在体外受精和卵胞浆内单精子注射中,已证实甲状腺疾病可导致以下影响,如回收的卵母细胞率降低、胚胎数量减少、妊娠率降低、这些患者先天性异常的几率增加以及着床率降低。左甲状腺素可增加周期取消率。

结论

甲状腺疾病可能对体外受精和卵胞浆内单精子注射的临床结果产生有害影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3060/10718547/e8dbb11e3f37/jbra-27-04-0709-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3060/10718547/e8dbb11e3f37/jbra-27-04-0709-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3060/10718547/e8dbb11e3f37/jbra-27-04-0709-g01.jpg

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本文引用的文献

1
Immunological Microenvironment Alterations in Follicles of Patients With Autoimmune Thyroiditis.自身免疫性甲状腺炎滤泡中免疫微环境的改变。
Front Immunol. 2021 Nov 17;12:770852. doi: 10.3389/fimmu.2021.770852. eCollection 2021.
2
Thyroxine Replacement for Subfertile Females With Subclinical Hypothyroidism and Autoimmune Thyroiditis: A Systematic Review.亚临床甲状腺功能减退和自身免疫性甲状腺炎的不育女性甲状腺素替代治疗:一项系统评价
Cureus. 2021 Aug 4;13(8):e16872. doi: 10.7759/cureus.16872. eCollection 2021 Aug.
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Thyroid Dysfunction and Sleep Disorders.
甲状腺功能紊乱与睡眠障碍。
Front Endocrinol (Lausanne). 2021 Aug 24;12:725829. doi: 10.3389/fendo.2021.725829. eCollection 2021.
4
Impact of Thyroid Autoimmunity on Fertilization/Intracytoplasmic Sperm Injection Outcomes and Fetal Weight.甲状腺自身免疫对受精/卵胞浆内单精子注射结局和胎儿体重的影响。
Front Endocrinol (Lausanne). 2021 Jul 8;12:698579. doi: 10.3389/fendo.2021.698579. eCollection 2021.
5
The effect of thyroid autoantibody on assisted reproduction technology outcome in euthyroid women: One center experience.甲状腺自身抗体对甲状腺功能正常女性辅助生殖技术结局的影响:单中心经验。
Pak J Pharm Sci. 2021 Jan;34(1):15-19.
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Association Between Pre-Pregnancy Body Mass Index and Miscarriage in an Assisted Reproductive Technology Population: A 10-Year Cohort Study.辅助生殖技术人群中孕前体重指数与流产的关系:一项 10 年队列研究。
Front Endocrinol (Lausanne). 2021 Jun 16;12:646162. doi: 10.3389/fendo.2021.646162. eCollection 2021.
7
Environmental Factors Affecting Thyroid-Stimulating Hormone and Thyroid Hormone Levels.环境因素对促甲状腺激素和甲状腺激素水平的影响。
Int J Mol Sci. 2021 Jun 17;22(12):6521. doi: 10.3390/ijms22126521.
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Analysis of in vitro fertilization/intracytoplasmic sperm injection outcomes in infertile women with a history of thyroid cancer: a retrospective study.甲状腺癌病史不孕妇女体外受精/卵胞浆内单精子注射结局分析:一项回顾性研究。
Reprod Biol Endocrinol. 2021 Jun 4;19(1):82. doi: 10.1186/s12958-021-00763-8.
9
Impact of thyroid cancer treatment on assisted reproductive technology outcomes in women with infertility.甲状腺癌治疗对不孕女性辅助生殖技术结局的影响。
J Assist Reprod Genet. 2021 Aug;38(8):2121-2128. doi: 10.1007/s10815-021-02204-2. Epub 2021 Apr 26.
10
Evaluation of serum anti-Müllerian hormone levels in women with Hashimoto thyroiditis in the reproductive age.评估生育期桥本甲状腺炎妇女的血清抗苗勒管激素水平。
Turk J Med Sci. 2021 Apr 30;51(2):716-721. doi: 10.3906/sag-2012-177.