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探索卵巢内富血小板血浆(PRP)疗法:多囊卵巢综合征(PCOS)患者的新希望。

Exploring Intraovarian Platelet-Rich Plasma (PRP) Therapy: A New Hope for Polycystic Ovary Syndrome (PCOS) Patients.

作者信息

Chaudhary Aru, More Akash, Choudhary Namrata, Barai Juhi, Wadhe Tejaswini

机构信息

Department of Clinical Embryology, School of Allied Health Sciences, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S1015-S1018. doi: 10.4103/jpbs.jpbs_166_25. Epub 2025 Apr 17.

DOI:10.4103/jpbs.jpbs_166_25
PMID:40511158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12156673/
Abstract

This case study represents a couple experiencing primary infertility for 4 years, with the male suffering from hypertension and normozoospermic condition, whereas the female suffers from Polycystic Ovary Syndrome (PCOS), which results in low ovarian reserve. The couple underwent the two failed IUI (Intrauterine Insemination) procedures and then was advised to go for Intra-cytoplasmic sperm injection (ICSI). After the first unsuccessful cycle of ICSI, the female patient underwent intraovarian platelet-rich plasma (PRP) therapy to improve the ovarian reserve and enhance egg quality. The second cycle of ICSI following the PRP treatment helped to improve ovarian response with more mature oocytes retrieved. After another ovum pick-up was conducted in which more mature oocytes were retrieved and after multiple embryo transfer (ET) cycles, a positive pregnancy was achieved. The patient was asked to have regular checkups during pregnancy. This study results in the potential benefit of intraovarian PRP therapy in enhancing ovarian function and reserve.

摘要

本案例研究呈现了一对经历了4年原发性不孕的夫妇,男方患有高血压且精子正常,而女方患有多囊卵巢综合征(PCOS),导致卵巢储备功能低下。这对夫妇接受了两次宫腔内人工授精(IUI)手术均失败,随后被建议进行卵胞浆内单精子注射(ICSI)。在第一个ICSI周期未成功后,女性患者接受了卵巢内富血小板血浆(PRP)治疗,以改善卵巢储备并提高卵子质量。PRP治疗后的第二个ICSI周期有助于改善卵巢反应,获取到更多成熟卵子。在又一次取卵并获取到更多成熟卵子后,经过多次胚胎移植(ET)周期,成功实现了妊娠。患者在孕期被要求定期进行检查。本研究表明卵巢内PRP治疗在增强卵巢功能和储备方面具有潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/12156673/d98eb1894549/JPBS-17-1015-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/12156673/d98eb1894549/JPBS-17-1015-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d475/12156673/d98eb1894549/JPBS-17-1015-g001.jpg

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本文引用的文献

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Caspian J Intern Med. 2023 Summer;14(3):485-489. doi: 10.22088/cjim.14.3.485.
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Financial costs of assisted reproductive technology for patients in low- and middle-income countries: a systematic review.低收入和中等收入国家患者辅助生殖技术的财务成本:一项系统综述。
Hum Reprod Open. 2023 Mar 1;2023(2):hoad007. doi: 10.1093/hropen/hoad007. eCollection 2023.
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A brief insight into the etiology, genetics, and immunology of polycystic ovarian syndrome (PCOS).
多囊卵巢综合征(PCOS)的病因、遗传学和免疫学简述。
J Assist Reprod Genet. 2022 Nov;39(11):2439-2473. doi: 10.1007/s10815-022-02625-7. Epub 2022 Oct 3.
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Platelet-Rich Plasma as a Potential New Strategy in the Endometrium Treatment in Assisted Reproductive Technology.富血小板血浆在辅助生殖技术中子宫内膜处理中的潜在新策略。
Front Endocrinol (Lausanne). 2021 Oct 18;12:707584. doi: 10.3389/fendo.2021.707584. eCollection 2021.
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Autologous platelet-rich plasma optimizes endometrial thickness and pregnancy outcomes in women with refractory thin endometrium of varied aetiology during fresh and frozen-thawed embryo transfer cycles.自身富含血小板的血浆可优化各种病因导致的难治性薄型子宫内膜患者在新鲜和冻融胚胎移植周期中的子宫内膜厚度和妊娠结局。
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Molecules. 2020 Nov 27;25(23):5566. doi: 10.3390/molecules25235566.
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Fertility and infertility: Definition and epidemiology.生育与不孕:定义及流行病学
Clin Biochem. 2018 Dec;62:2-10. doi: 10.1016/j.clinbiochem.2018.03.012. Epub 2018 Mar 16.
8
Platelet Rich Plasma: a short overview of certain bioactive components.富血小板血浆:某些生物活性成分的简要概述
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