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冻融卵裂期胚胎来源囊胚移植的生殖结局：一项系统评价与Meta分析

Reproductive Outcomes of Transferring Blastocysts Derived From Frozen-Thawed Cleavage Embryos: A Systematic Review and Meta-Analysis.

作者信息

Tran Huy Phuong, Nguyen Nam Nhat, Truong Ngoc Thanh, Hoang Tuyet Thi-Diem, Huynh Trang Nguyen-Khanh, Tran Ha Le-Bao

机构信息

Faculty of Biology and Biotechnology University of Science Ho Chi Minh City Vietnam.

Laboratory of Tissue Engineering and Biomedical Materials University of Science Ho Chi Minh City Vietnam.

出版信息

Reprod Med Biol. 2025 Aug 7;24(1):e12673. doi: 10.1002/rmb2.12673. eCollection 2025 Jan-Dec.

DOI:10.1002/rmb2.12673
PMID:40777573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12329422/
Abstract

BACKGROUND

In in vitro fertilization (IVF), transferring frozen-thawed blastocysts is a widely adopted practice. This meta-analysis aims to evaluate the reproductive outcomes of transferring blastocysts derived from frozen-thawed cleavage embryos (FT-CDB group) compared to direct frozen-thawed blastocyst (DFB group) transfers.

METHODS

We searched the following electronic databases for relevant studies: PubMed/MEDLINE, EMBASE, Scopus, and Web of Science. Studies were included if they compared the clinical and neonatal outcomes of IVF patients receiving either FT-CDB or DFB transfer with vitrification method. The protocol for this review has been registered in PROSPERO.

RESULTS

A total of seven studies (2057 patients) were included in the analysis. Participants in the FT-CDB group demonstrated significantly higher odds of achieving clinical pregnancy (OR 1.24, 95% CI 1.03-1.49,  = 0.022,  = 27%), and live birth (OR 1.31, 95% CI 1.08-1.60,  = 0.007,  = 0%) compared to the DFB group. No significant differences were observed in the birth weights of infants between the groups (MD -87.05 g, 95% CI -293.77 to 119.67,  = 0.41,  = 83%).

CONCLUSION

Transferring blastocysts derived from frozen-thawed cleavage embryos is associated with higher odds of clinical pregnancy and live birth compared to frozen-thawed blastocyst transfers.

TRIAL REGISTRATION

PROSPERO number: CRD42024591620.

摘要

背景

在体外受精（IVF）中，移植冻融囊胚是一种广泛采用的做法。本荟萃分析旨在评估与直接移植冻融囊胚（DFB组）相比，移植冻融卵裂期胚胎来源的囊胚（FT-CDB组）的生殖结局。

方法

我们在以下电子数据库中检索相关研究：PubMed/MEDLINE、EMBASE、Scopus和Web of Science。纳入比较采用玻璃化方法进行FT-CDB或DFB移植的IVF患者临床和新生儿结局的研究。本综述方案已在PROSPERO注册。

结果

分析共纳入7项研究（2057例患者）。与DFB组相比，FT-CDB组患者临床妊娠（OR 1.24，95%CI 1.03-1.49，P = 0.022，I² = 27%）和活产（OR 1.31，95%CI 1.08-1.60，P = 0.007，I² = 0%）的几率显著更高。两组间婴儿出生体重无显著差异（MD -87.05g，95%CI -293.77至119.67，P = 0.41，I² = 83%）。

结论

与移植冻融囊胚相比，移植冻融卵裂期胚胎来源的囊胚临床妊娠和活产几率更高。

试验注册

PROSPERO编号：CRD42024591620。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bb2/12329422/f5e6c6b29c45/RMB2-24-e12673-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bb2/12329422/f5e6c6b29c45/RMB2-24-e12673-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bb2/12329422/f5e6c6b29c45/RMB2-24-e12673-g001.jpg

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本文引用的文献

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Int J Fertil Steril. 2025 May 14;19(3):264-270. doi: 10.22074/ijfs.2024.2036618.1739.
2
Does double cryopreservation as well as double biopsy affect embryo viability and clinical outcomes? Evidence from a systematic review of the literature.双重冷冻保存以及双重活检是否会影响胚胎活力和临床结局？来自文献系统评价的证据。
J Assist Reprod Genet. 2025 Apr;42(4):1053-1066. doi: 10.1007/s10815-025-03398-5. Epub 2025 Feb 1.
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Comparison of embryologist stress, somatization, and burnout reported by embryologists working in UK HFEA-licensed ART/IVF clinics and USA ART/IVF clinics.
比较在英国人类受精与胚胎管理局（HFEA）许可的 ART/IVF 诊所和美国 ART/IVF 诊所工作的胚胎学家报告的胚胎学家压力、躯体化和倦怠情况。
Hum Reprod. 2024 Oct 1;39(10):2297-2304. doi: 10.1093/humrep/deae191.
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The optimal timing of frozen-thawed embryo transfer: delayed or not delayed? A systematic review and meta-analysis.冻融胚胎移植的最佳时机：延迟还是不延迟？一项系统评价和荟萃分析。
Front Med (Lausanne). 2024 Jan 15;10:1335139. doi: 10.3389/fmed.2023.1335139. eCollection 2023.
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The optimal frozen embryo transfer strategy for the recurrent implantation failure patient without blastocyst freezing: thawing day 3 embryos and culturing to day 5 blastocysts.对于没有囊胚冷冻的复发性着床失败患者，最佳的冻融胚胎移植策略是：解冻第 3 天的胚胎并培养至第 5 天的囊胚。
Zygote. 2023 Dec;31(6):596-604. doi: 10.1017/S0967199423000503. Epub 2023 Nov 16.
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