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Effects of the number and fragmentation rate of in vitro fertilized embryos on blastocyst formation |
LI Na1 WEI Jing2 |
1.Department of Obstetrics and Gynecology, Liuzhou Worker′s Hospital, Guangxi Zhuang Autonomous Region, Liuzhou 545000, China;
2.Centre for Reproductive Medicine, Guangxi Zhuang Autonomous Region, Liuzhou 545000, China |
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Abstract Objective To investigate the effects of the number of in vitro fertilized embryos and the ratio of fragments on blastocyst formation. Methods From January to October 2016, 200 patients who underwent in vitro fertilization in Liuzhou Worker′s Hospital were given embryos 3 days after completion of fertilization, grouping of embryos according to the number of blastocysts, they were divided into 2-3c group (2-3 cells), 4c group (4 cells), 5c group (5 cells), 6c group (6 cells), 7c group (7 cells), 8c group (8 cells), 9c group (9 cells), 10c group (10 cells), 11c group (11 cells), 12c group (12 cells), more than 13c group (more than 13 cells). Grading operations on fragments. The effect of cell number and fragmentation level (the fragmentation rate of grade 1 is less than 5%; the fragmentation rate of grade 2 is >5%-20%; the fragmentation rate of stage 3 is >20%-30%; and the fragmentation rate of grade 4 is higher than 30%.) on the quality of blastocysts during embryo transfer was analyzed. Results The effective blastocyst formation rate and the high quality blastocyst formation rate in 8c group were the highest, in the 1-2 grade fragment level of the blastula and the 3-4 fragment level of the blastula(χ2=200.760, 119.162, 243.532, 136.395, all P < 0.01). Conclusion In in vitro fertilization embryo transfer, the level of grade 1-2 and grade 3-4 is all 8c group, and the quality of blastocyst is the best. This result has a reference value for guiding the selection of high-quality embryos.
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[1] 廖桂芝,丁洁,顾斌,等.体外受精胚胎细胞数量和碎片比例对囊胚形成的影响[J].生殖与避孕,2015,35(12):879-883.
[2] 王珊珊,曾惠明,张宁媛,等.不同受精方式对单原核胚胎发育潜能的影响[J].中国性科学,2014,5(6):45-48.
[3] Xiong T,Zhao Y,Hu D,et al. Administration of calcitonin promotes blastocyst implantation in mice by up-regulating integrin β3expression in endometrial epithelial cells [J]. Hum Reprod,2012,27(12):3540-3551.
[4] 马海兰,罗克莉,龚斐,等.辅助生殖技术助孕出生婴儿性别比例的初步调查[J].生殖医学杂志,2013,22(3):203-204.
[5] de Ziegler D,Streuli I,Meldrum DR,et al. The value of gro?鄄wth hormone supplements in ART for poor ovarian responders [J]. Fertil Steril,2011,96(5):1069-1076.
[6] 于洪君.体外受精-胚胎移植术后的妊娠并发症和出生结局[D].沈阳:中国医科大学,2010.
[7] Yovich JL,Stanger JD. Growth hormone supplementation improves implantation and pregnancy productivity rates for poor-prognosis patients undertaking IVF [J]. Reprod Biomed Online,2010,21(1):37-49.
[8] Jimenez CR,de Azevedo JL,Silveira RG,et al. Effects of Growth Hormone on In Situ Culture of Bovine Preantral Follicles are Dose Dependent [J]. Reprod Domest Anim,2016,51(4):575-584.
[9] 万永杰.体细胞核移植法生产转人乳铁蛋白基因奶山羊技术体系优化的研究[D].南京:南京农业大学,2012.
[10] 廖桂芝,丁洁,顾斌等.体外受精胚胎细胞数量和碎片比例对囊胚形成的影响[J].生殖与避孕,2015,35(12):879-883.
[11] 陈亮,徐阳.精子DNA碎片化检测在男性生殖领域的临床应用[J].中国男科学杂志,2014,9(7):60-62,66.
[12] 文宏贵,兰灵,杨娜,等.不同辅助生殖技术方法获得的单胎儿分娩结局的比较[J].生殖医学杂志,2014,23(11):894-896.
[13] Nakamura E,Otsuka F,Inagaki K,et al. Mutual regulation of growth hormone and bone morphogenetic protein system in steroidogenesis by rat granulosa cells [J]. Endocrinology,2012,153(1):469-480.
[14] 罗龙兴,何若钢,卢晟盛,等.微滴中胚胎数量对猪孤雌胚早期体外发育的影响[J].安徽农业科学,2009,37(16):7448-7449.
[15] 刘群,胡娟,陈雯,等.D3低形态学评分胚胎的继续培养及其意义[J].中国妇幼保健,2012,27(31):4945-4947.
[15] 吴重聪,蔡桂丰,杨桂艳,等.多胎妊娠自然减胎对辅助生殖技术临床结局影响的研究[J].中国医学创新,2016, 13(18):9-12.
[16] 范柳,施艳秋.卵巢储备功能下降中西医治疗研究进展[J].中国医药导报,2015,12(33):65-68.
[17] 吴成勇,杨满,林梅,等.小鼠卵胞浆内单精子显微注射改良技术在辅助生殖技术应用中的价值[J].中国医药导报,2015,12(1):8-11. |
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