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体外受精与胚胎移植治疗的不明原因不孕夫妇中供体授精与丈夫授精的结局

Outcome of donor versus husband insemination in couples with unexplained infertility treated by in vitro fertilization and embryo transfer.

作者信息

Azem F, Botchan A, Yaron Y, Lessing J B, Har-toov J, Yavetz H, Yovel I, Amit A

机构信息

In Vitro Fertilization/Embryo Transfer Unit, Serlin Maternity Hospital, Tel Aviv Sourasky Medical Center, Israel.

出版信息

Fertil Steril. 1994 Jun;61(6):1088-91. doi: 10.1016/s0015-0282(16)56761-2.

DOI:10.1016/s0015-0282(16)56761-2
PMID:8194622
Abstract

OBJECTIVE

To examine the IVF-ET outcome of couples with unexplained infertility treated by husband versus donor sperm.

DESIGN

A retrospective analysis of the IVF-ET outcome of couples with unexplained infertility treated by either husband or donor sperm and in a subgroup of patients treated simultaneously by husband and donor sperm.

SETTING

IVF Unit, Serlin Maternity Hospital, Tel Aviv, Israel.

PATIENTS

Couples diagnosed as having unexplained infertility underwent IVF at our Unit; included were 96 couples treated by husband insemination (group A), 27 couples who received donor insemination because of azoospermia (group B), and 8 couples who sought donor insemination after having previously failed IVF (group C).

RESULTS

No statistically significant difference was found between groups A and B regarding age of the females, duration of infertility, number of IVF cycles, fertilization rate, number of ETs, and pregnancy rate. Oocytes collected in group C were subdivided further into two groups: 45 were incubated with husband sperm and 46 were incubated with donor sperm. Fertilization rates were 46.6% and 50%, respectively. One pregnancy occurred.

CONCLUSION

In couples with unexplained infertility who had undergone IVF-ET with husband insemination, the fertilization and pregnancy rates were similar to those of couples who were treated by donor sperm.

摘要

目的

探讨采用丈夫精子与供体精子治疗不明原因不孕夫妇的体外受精-胚胎移植(IVF-ET)结局。

设计

对采用丈夫精子或供体精子治疗的不明原因不孕夫妇的IVF-ET结局进行回顾性分析,并对同时采用丈夫精子和供体精子治疗的患者亚组进行分析。

地点

以色列特拉维夫塞尔林妇产医院体外受精科。

患者

被诊断为不明原因不孕的夫妇在本单位接受IVF治疗;包括96对采用丈夫精液人工授精的夫妇(A组),27对因无精子症接受供体精液人工授精的夫妇(B组),以及8对之前IVF失败后寻求供体精液人工授精的夫妇(C组)。

结果

A组和B组在女性年龄、不孕持续时间、IVF周期数、受精率、胚胎移植数和妊娠率方面未发现统计学上的显著差异。C组收集的卵母细胞进一步分为两组:45个与丈夫精子一起培养,46个与供体精子一起培养。受精率分别为46.6%和50%。发生了1例妊娠。

结论

在采用丈夫精液进行IVF-ET的不明原因不孕夫妇中,受精率和妊娠率与采用供体精子治疗的夫妇相似。

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Outcome of donor versus husband insemination in couples with unexplained infertility treated by in vitro fertilization and embryo transfer.体外受精与胚胎移植治疗的不明原因不孕夫妇中供体授精与丈夫授精的结局
Fertil Steril. 1994 Jun;61(6):1088-91. doi: 10.1016/s0015-0282(16)56761-2.
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Assisted reproductive technology with donor sperm: national trends and perinatal outcomes.供精辅助生殖技术:国家趋势与围产结局。
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