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重视体外受精-胚胎移植反复种植失败的规范化诊治

  • 全松 ,
  • 王哲
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  • 南方医科大学南方医院妇产科生殖医学中心 (广州 510515 )
全松,南方医科大学南方医院妇产科副主任、生殖医学中心主任、教授、主任医师、博士研究生导师、博士后合作导师,日本国立德岛大学高级访问学者。中华医学会生殖医学分会常委兼管理与伦理学组组长、国家卫健委人类辅助生殖技术质控小组成员、广东省医学会生殖医学分会荣誉主任委员,《中华生殖与避孕杂志》常务编委等。主要专业领域为生殖医学、生殖生理学及辅助生殖技术,主研方向为生殖内分泌、生殖免疫、卵泡发育调控及着床等不孕不育的综合诊治。对反复IVF着床失败及妊娠丢失等难治性不孕症的临床综合治疗及科学研究有较深造诣。连续九届举办国家继续教育项目 “反复IVF失败与着床障碍学术研讨会”。主持国家863科技计划项目、国家重点研发计划项目、国家自然科学基金及广东省自然科学基金多项。获得全国妇幼健康科学技术奖一等奖一项。参与16篇辅助生殖领域中国专家共识的制定;主译《体外受精与辅助生殖》及《宫腔内人工授精与促排卵》(人民卫生出版)教科书2部。发表SCI论文80多篇,其中在《Human Reproduction》、《Fertility and Sterility》等生殖医学领域顶级专业杂志发表论文30余篇。

收稿日期: 2023-09-06

  网络出版日期: 2023-12-19

基金资助

国家自然科学基金项目(82171656)

Song Emphasis on standardized clinical treatment of recurrent implant failure

  • Song QUAN ,
  • Zhe. WANG
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  • Center for Reproductive Medicine. Department of Obstetrics and Gynecology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China

Received date: 2023-09-06

  Online published: 2023-12-19

摘要

反复种植失败(recurrent implantation failure, RIF)是指不孕症患者经历多个体外受精-胚胎移植(in vitro fertilization embryo transfer, IVF-ET)周期,并移植多枚优质胚胎而未获胚胎种植或临床妊娠。基于RIF的病因多而复杂,影响IVF-ET助孕结局的因素众多,目前国内外有关RIF的指南与共识,在RIF的定义、病因筛查、诊断与治疗等方面仍存在争议,为RIF在临床上的规范化诊治带来很大困惑。本文依据国内外指南与共识,结合近期相关研究进展,对RIF的临床上规范化诊治提出参考意见。

本文引用格式

全松 , 王哲 . 重视体外受精-胚胎移植反复种植失败的规范化诊治[J]. 实用医学杂志, 2023 , 39(21) : 2693 -2697 . DOI: 10.3969/j.issn.1006-5725.2023.21.001

Abstract

Recurrent implantation failure (RIF) refers to the situation where couples facing infertility undergo multiple IVF-ET cycles and transfer multiple high-quality embryos, yet are unable to achieve embryo implantation or clinical pregnancy. The causes of RIF are multifaceted and can be influenced by many factors that may impact the outcome of IVF-ET assisted pregnancy. Despite this, there is ongoing debate regarding the definition of RIF, as well as the screening, diagnosis, and treatment approaches. This confusion largely stems from differences between current domestic and foreign guidelines and consensus. In order to provide clarity on this issue, this article aims to offer reference opinions on the standardized clinical diagnosis and treatment of RIF, based on recent research progress as well as both domestic and foreign guidelines and consensus.

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