实用医学杂志 ›› 2023, Vol. 39 ›› Issue (9): 1118-1122.doi: 10.3969/j.issn.1006⁃5725.2023.09.009

• 临床研究 • 上一篇    下一篇

冻融胚胎移植周期中胚胎致密化的应用价值 

贾俊龙 程耀萍 王玲 喻艳 孙阳 吕爱霞 马晓艳    

  1. 中国人民解放军联勤保障部队第九四〇医院生殖中心(兰州 730050) 
  • 出版日期:2023-05-10 发布日期:2023-05-10
  • 通讯作者: 马晓艳 E⁃mail:503530812@qq.com
  • 基金资助:
    甘肃省科技计划项目(编号:21JR11RA013);兰州市科技计划目(编号:2021⁃1⁃100);联勤保障部队战勤部面上项 目(编号:CLB19J048);院卫勤部项目(编号:2021yxky029) 

Clinical application value of embryo densification during frozen ⁃ thawed embryo transfer cycle 

JIA Junlong,CHENG Yaoping,WANG Ling,YU Yan,SUN Yang,LÜ Aixia,MA Xiaoyan.   

  1. Reproductive Center,No. 940 Hospital of Joint Logistic Support Force of the Chinese People′s Liberation Army,Lanzhou 730050,China
  • Online:2023-05-10 Published:2023-05-10
  • Contact: MA Xiaoyan E⁃mail:503530812@qq.com

摘要: 目的 探讨冻融胚胎移植周期中,D4胚胎的致密化程度和数量对临床妊娠结局的影响,明确 胚胎致密化对抱婴率的影响。方法 选择女方年龄 < 40岁行冻融胚胎移植的患者。根据移植胚胎致密化 程度不同将移植周期分为3组:含有2个部分致密化或致密化以上胚胎组(A组);含1个部分致密化或致密 化以上胚胎组(B组);不含部分致密化或致密化胚胎组(C组),对其种植率和临床结局进行分析。研究致密 化胚胎的最终妊娠结局。结果 (1)年龄、体质量指数C组均显著低于A组。不孕年限、基础FSH、基础LH, 基础E2采用非参数检验3组间差异无统计学意义(P > 0.05)。内膜准备方案,3组间差异无统计学意义(P > 0.05)。移植日内膜厚度,C组显著高于A组(P < 0.05)。(2)平均移植优质胚胎数A组、B组、C组依次降低,差 异有统计学意义(P < 0.05)。早期妊娠丢失率3组间差异有统计学意义(P < 0.05),B组升高且A组降低。抱 婴率3组间差异有统计学意义(P < 0.05),A组与C组、B组比较差异有统计学意义(P < 0.05)。结论 增加2 枚部分致密化以上胚胎可以显著增加抱婴率,并不增加多胎妊娠率和剖宫产率,但增加1枚部分致密化以上 胚胎并不能提高临床妊娠率、多胎妊娠率和抱婴率。 

关键词: 冻融胚胎移植周期, D4胚胎, 致密化, 临床妊娠结局

Abstract:

Objective To study the influence of densification degree and quantity of D4 embryos on clinical pregnancy outcome in the freezing and thawing embryo transfer cycle,and to make clear the effect of densification embryo on live birth rate. Methods Younger patients(< 40 years old)having frozen ⁃thawed embryo transfer were selected. According to the densification degree of transferred embryos,the transfer cycles were divided into group A (containing two more partially densified embryos or densified embryos);group B(containing one partially densified or densified embryo group);group C(without partially densified or densified embryos). The implantation rate and clinical outcome were analyzed,and the final pregnancy outcome of densified embryos was studied. Results (1)Age and body mass index in group C were significantly lower than those in group A. Infertility duration,basic FSH,basic LH,and basic E2 were not significantly different among the three groups by using nonparametric test. There was no statistical difference among the three groups in the endometrial preparation protocols. The endometrial thickness of group C was significantly higher than that of group A.(2)The average number of high ⁃quality embryos transferred in group A,B and C decreased successively,and the difference was statistically significant. The loss rate of early pregnancy was significantly different among the three groups,which was increased in group B but decreased in group A. The live birth rate was significantly different among the three groups,and the difference between group A and group B and C was significant. Conclusion Transferring two more partially densified embryos can significantly increase live birth rate,but not increase multiple pregnancy rate and cesarean section rate. However,transferring one more partially densified embryo could not improve the clinical pregnancy rate,multiple pregnancy rate and live birth rate. 

Key words: frozen ? thawed embryo transfer cycle, D4 embryo, densification, clinical pregnancy outcome