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卵胞浆内单精子注射的形态学:初步结果。

Morphology in intracytoplasmic sperm injection: preliminary results.

作者信息

Küpker W, al-Hasani S, Schulze W, Kühnel W, Schill T, Felberbaum R, Diedrich K

机构信息

Department of Obstetrics and Gynecology, Medical University Lübeck, Germany.

出版信息

J Assist Reprod Genet. 1995 Oct;12(9):620-6. doi: 10.1007/BF02212586.

DOI:10.1007/BF02212586
PMID:8580661
Abstract

PURPOSE

Direct intracytoplasmic sperm injection (ICSI) is a successful treatment of severe male subfertility. Conventional in vitro fertilization shows poor pregnancy rates especially in cases of severe teratozoospermia. The objective was to determine if severe morphological defects of spermatozoa in oligoasthenoteratozoospermia (OAT) have any impact on the fertilization process in ICSI and if there are any specific morphological characteristics in nonfertilized oocytes after the ICSI procedure.

METHODS

Ejaculates and nonfertilized oocytes were investigated by electron microscopy.

CONCLUSIONS

The lack of intracytoplasmic sperm-oocyte interaction, not severe sperm defects, displays the most critical role in the fertilization process. Clinical data with fertilization rates of 66% and pregnancy rates of 23.3% confirm the fertilization capacity of severely

摘要

目的

直接卵胞浆内单精子注射(ICSI)是治疗严重男性生育力低下的一种成功方法。传统体外受精的妊娠率较低,尤其是在严重畸形精子症的病例中。目的是确定少弱畸精子症(OAT)中精子严重形态缺陷是否对ICSI受精过程有任何影响,以及ICSI术后未受精的卵母细胞是否有任何特定形态特征。

方法

通过电子显微镜对射出的精液和未受精的卵母细胞进行研究。

结论

在受精过程中,缺乏卵胞浆内精子-卵母细胞相互作用而非严重的精子缺陷起着最关键的作用。受精率为66%、妊娠率为23.3%的临床数据证实了严重……的受精能力

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引用本文的文献

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A fast and safe technique for sperm preparation in ICSI treatments within a randomized controlled trial (RCT).一项在随机对照试验(RCT)中用于 ICSI 治疗的快速安全的精子制备技术。
Reprod Biol Endocrinol. 2020 Aug 19;18(1):88. doi: 10.1186/s12958-020-00642-8.
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Intracytoplasmic morphologically selected sperm injection outcomes: the role of sperm preparation techniques.胞质内形态选择精子注射的结局:精子制备技术的作用。
J Assist Reprod Genet. 2013 Jun;30(6):849-54. doi: 10.1007/s10815-013-9989-x. Epub 2013 Apr 2.
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Acrosome index is not an absolute predictor of the outcome following conventional in vitro fertilization and intracytoplasmic sperm injection.

本文引用的文献

1
[In vitro fertilization. Prognostic factors].
Geburtshilfe Frauenheilkd. 1993 May;53(5):351-5. doi: 10.1055/s-2007-1022896.
2
Teratozoospermia and in-vitro fertilization: a randomized prospective study.畸形精子症与体外受精:一项随机前瞻性研究。
Hum Reprod. 1994 Aug;9(8):1479-84. doi: 10.1093/oxfordjournals.humrep.a138734.
3
Ultrastructural analysis of fertilization failure after intracytoplasmic sperm injection.
Hum Reprod. 1994 Dec;9(12):2374-80. doi: 10.1093/oxfordjournals.humrep.a138455.
4
顶体指数并非传统体外受精和卵胞浆内单精子注射后结局的绝对预测指标。
J Assist Reprod Genet. 2001 Sep;18(9):483-9. doi: 10.1023/a:1016696909515.
4
Very low sperm count affects the result of intracytoplasmic sperm injection.极低的精子计数会影响卵胞浆内单精子注射的结果。
J Assist Reprod Genet. 2000 Sep;17(8):431-6. doi: 10.1023/a:1009413201849.
Sperm morphologic features as a prognostic factor in in vitro fertilization.精子形态特征作为体外受精的一个预后因素。
Fertil Steril. 1986 Dec;46(6):1118-23. doi: 10.1016/s0015-0282(16)49891-2.