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辅助生殖技术中以生殖健康为导向的发展

[Reproductive Health-Oriented Development in Assisted Reproductive Technologies].

作者信息

Hu Peiran, Pan Jiexue, Liu Xinmei, Huang Hefeng

机构信息

( 200030) Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai 200030, China.

( 200030) Shanghai Key Laboratory of Reproduction and Development, Shanghai 200030, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2024 May 20;55(3):501-506. doi: 10.12182/20240560401.

DOI:10.12182/20240560401
PMID:38948299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11211779/
Abstract

Assisted reproductive technologies (ARTs) are core components of the field of reproductive medicine, encompassing multiple pivotal stages of early development from gamete maturation and fertilization to embryo development. Against the backdrop of a deteriorating trend of global decline in fertility rates, patients with infertility problems increasingly turn to ARTs to realize their dreams of parenthood. However, concomitant with this trend is a growing apprehension regarding the potential adverse effects of ARTs. Herein, we endeavor to discuss several common ARTs procedures utilized in clinical settings and the relevant cutting-edge advancements. The ARTs discussed in the article include fertilization (IVF), intracytoplasmic sperm injection (ICSI), biphasic maturation (biphasic IVM), frozen embryo transfer (FET), preimplantation genetic testing (PGT), non-invasive PGT (niPGT), etc. In addition, we reevaluated their roles within the broader context of assisted reproduction aimed at promoting reproductive health. Additionally, we will delve into the impact of ARTs on the reproductive health of the offspring. By prioritizing the reproductive well-being of both patients and their offspring, the ongoing development and improvement of ARTs to enhance their efficacy and safety will contribute significantly to the advancement of human reproductive health.

摘要

辅助生殖技术(ARTs)是生殖医学领域的核心组成部分,涵盖了从配子成熟、受精到胚胎发育等早期发育的多个关键阶段。在全球生育率呈下降趋势的背景下,不孕不育患者越来越多地求助于辅助生殖技术来实现为人父母的梦想。然而,伴随着这一趋势的是人们对辅助生殖技术潜在不良影响的担忧日益增加。在此,我们努力探讨临床中使用的几种常见辅助生殖技术程序以及相关的前沿进展。本文讨论的辅助生殖技术包括体外受精(IVF)、卵胞浆内单精子注射(ICSI)、双相成熟(双相IVM)、冷冻胚胎移植(FET)、植入前基因检测(PGT)、无创PGT(niPGT)等。此外,我们在旨在促进生殖健康的辅助生殖更广泛背景下重新评估了它们的作用。此外,我们将深入探讨辅助生殖技术对后代生殖健康的影响。通过优先考虑患者及其后代的生殖福祉,不断发展和改进辅助生殖技术以提高其疗效和安全性将对人类生殖健康的进步做出重大贡献。

相似文献

1
[Reproductive Health-Oriented Development in Assisted Reproductive Technologies].辅助生殖技术中以生殖健康为导向的发展
Sichuan Da Xue Xue Bao Yi Xue Ban. 2024 May 20;55(3):501-506. doi: 10.12182/20240560401.
2
Pregnancy outcomes after assisted human reproduction.人类辅助生殖后的妊娠结局
J Obstet Gynaecol Can. 2014 Jan;36(1):64-83. doi: 10.1016/S1701-2163(15)30685-X.
3
Comparison of outcomes between intracytoplasmic sperm injection and in vitro fertilization inseminations with preimplantation genetic testing for aneuploidy, analysis of Society for Assisted Reproductive Technology Clinic Outcome Reporting System data.比较胚胎植入前遗传学检测非整倍体筛选的卵胞浆内单精子注射和体外受精-胚胎移植的结局:美国生殖医学学会临床结局报告系统数据分析。
Fertil Steril. 2024 May;121(5):799-805. doi: 10.1016/j.fertnstert.2023.12.041. Epub 2024 Jan 5.
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Offspring physiology following the use of IVM, IVF and ICSI: a systematic review and meta-analysis of animal studies.使用 IVM、IVF 和 ICSI 后的后代生理学:动物研究的系统评价和荟萃分析。
Hum Reprod Update. 2023 May 2;29(3):272-290. doi: 10.1093/humupd/dmac043.
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Minimizing mosaicism: assessing the impact of fertilization method on rate of mosaicism after next-generation sequencing (NGS) preimplantation genetic testing for aneuploidy (PGT-A).最大限度地减少嵌合体:评估胚胎植入前遗传学检测(PGT-A)中下一代测序(NGS)后不同受精方法对嵌合体发生率的影响。
J Assist Reprod Genet. 2019 Jan;36(1):153-157. doi: 10.1007/s10815-018-1347-6. Epub 2018 Oct 25.
6
International Committee for Monitoring Assisted Reproductive Technologies world report: assisted reproductive technology, 2014†.国际辅助生殖技术监测委员会世界报告:辅助生殖技术,2014 年†。
Hum Reprod. 2021 Oct 18;36(11):2921-2934. doi: 10.1093/humrep/deab198.
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Updates in preimplantation genetic testing (PGT).植入前遗传学检测(PGT)的最新进展。
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Assisted reproductive technology and hypertensive disorders of pregnancy: systematic review and meta-analyses.辅助生殖技术与妊娠高血压疾病:系统评价和荟萃分析。
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Genetic and epigenetic risks of assisted reproduction.辅助生殖的遗传和表观遗传风险。
Best Pract Res Clin Obstet Gynaecol. 2017 Oct;44:90-104. doi: 10.1016/j.bpobgyn.2017.07.004. Epub 2017 Aug 3.
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Fresh versus elective frozen embryo transfer in IVF/ICSI cycles: a systematic review and meta-analysis of reproductive outcomes.新鲜胚胎与选择性冻融胚胎移植在体外受精/卵胞浆内单精子注射周期中的比较:生殖结局的系统评价和荟萃分析。
Hum Reprod Update. 2019 Jan 1;25(1):2-14. doi: 10.1093/humupd/dmy033.

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mBio. 2025 Jul 9;16(7):e0050925. doi: 10.1128/mbio.00509-25. Epub 2025 Jun 17.

本文引用的文献

1
A mutual comparison of pregnancy outcomes between different conception modes: a propensity score matching based retrospective cohort study.不同受孕方式妊娠结局的相互比较:基于倾向评分匹配的回顾性队列研究。
Front Endocrinol (Lausanne). 2024 Jan 25;15:1351991. doi: 10.3389/fendo.2024.1351991. eCollection 2024.
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Intracytoplasmic sperm injection versus conventional in-vitro fertilisation for couples with infertility with non-severe male factor: a multicentre, open-label, randomised controlled trial.胞浆内单精子注射与常规体外受精治疗男性因素非严重不育夫妇的多中心、开放标签、随机对照试验。
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The "freeze-all" strategy seems to improve the chances of birth in adenomyosis-affected women.“冻存所有胚胎”策略似乎提高了腺肌症患者的生育几率。
Fertil Steril. 2024 Mar;121(3):460-469. doi: 10.1016/j.fertnstert.2023.11.039. Epub 2023 Dec 4.
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Long-term healthcare utilization and costs of babies born after assisted reproductive technologies (ART): a record linkage study with 10-years' follow-up in England.辅助生殖技术(ART)后出生婴儿的长期医疗保健利用和成本:一项在英格兰进行的具有 10 年随访的记录链接研究。
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A fresh start for IVM: capacitating the oocyte for development using pre-IVM.重新审视 IVM:使用 IVM 前处理使卵母细胞具备发育能力。
Hum Reprod Update. 2024 Jan 3;30(1):3-25. doi: 10.1093/humupd/dmad023.
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Human embryo live imaging reveals nuclear DNA shedding during blastocyst expansion and biopsy.人类胚胎活体成像揭示囊胚扩张和活检过程中核 DNA 的脱落。
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