队列中取卵数量和成熟卵母细胞率是否影响IVF结果?

Mehmet Caner Özer, Ayten Türkkani, Derya ÖZDEMİR TAŞ, Ş. Özyer, Mustafa Turan, Nafiye Yilmaz, Özlem Moraloğlu Tekin
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摘要

目的:探讨单新鲜胚胎移植中卵母细胞数量和成熟卵母细胞率对体外受精结果的影响。材料与方法:取卵数量和成熟卵母细胞率分为两组。根据561个IVF周期取卵数,0-5个(n=175)个卵为第1组,6-10个(n=214)个卵为第2组,11-15个(n=121)个卵为第3组,16个及以上卵为第4组(n=51)。成熟卵母细胞(中期II, MII卵母细胞)率分为三组:1A组(n=338)成熟卵母细胞76-100%,2A组(n=150)成熟卵母细胞75-50%,3A组(n=73)成熟卵母细胞不足50%。结果:取卵数与受精率呈负相关,6-10个卵母细胞组Β-hCG阳性及临床妊娠率较好。平均年龄、基础黄体生成素、促排卵日E2水平和受精率在三组成熟卵母细胞率之间差异显著。结论:总之,队列中的MII卵母细胞率,无论提取的卵母细胞数量如何,都不会影响IVF结果。
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Do the Number of Oocytes Retrieved and Mature Oocyte Rate in the Cohort Affect IVF Results?
Aim: The aim of this study was to investigate the effects of the number of oocytes retrieved and rate of mature oocytes on IVF outcomes in single fresh embryo transfer. Materials and Medhods: Two main groups were formed regarding number of oocytes retrieved and mature oocyte rate. According to the number of oocytes retrieved in 561 IVF cycles, 0-5 (n=175) oocytes were determined as group 1, 6-10 (n=214) oocytes as group 2, 11-15 (n=121) oocytes as group 3 and 16 or more oocytes as group 4 (n=51). Regarding mature oocyte (metaphase II, MII oocyte) rate, three groups were formed: group 1A (n=338) 76-100% mature oocytes, group 2A (n=150) 75-50% mature oocytes, and group 3A (n=73) less than 50% mature oocytes. Results: The number of oocytes retrieved was negatively correlated fertilization rate, whereas Β-hCG positivity and clinical pregnancy rates were observed to be better in the 6-10 oocytes group. The mean age, basal LH, and ovulation trigger day E2 levels, and fertilization rate were differed significantly between three groups of mature oocyte rate. Conclusion: In conclusion, MII oocyte rates in the cohort, regardless of the number of oocytes retrieved, did not affect IVF outcomes.
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