Influence of the Single Live Birth Outcome Following Transfer of Vitrified Blastocyst and
Blastocyst Cultured from Thawing Cleavage Embryo[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018, 39(2).
Influence of the Single Live Birth Outcome Following Transfer of Vitrified Blastocyst and
Blastocyst Cultured from Thawing Cleavage Embryo[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018, 39(2).DOI:
: 【目的】比较卵裂期胚胎复苏后囊胚培养移植与复苏嚢胚移植的单胎分娩结局,探讨最佳冻存方 案。【方法】回顾性分析2014年1月至2016年10月在本中心行复苏周期移植(FET)并单胎分娩的患者,囊胚复苏 组1 037个周期,卵裂胚复苏囊胚培养组690个周期。分析两组的新生儿分娩结局,其中包括平均孕周,平均体 质量,男婴出生率,早产率,极早产率,低体质量率,极低体质量率,先天异常率。【结果】平均胎龄,新生儿平均体 质量,活产、健康抱婴以及死胎的比例两组没有统计学差异(P>0.05)。出生性别比差异没有统计学意义;早产 率,极早产率,低出生体质量率,极低出生体质量率以及先天异常率两组没有统计学差异(P>0.05);校正后,出生 男婴率(AOR 1.07,95% CI 0.86~1.34),早产率(AOR 0.7,95% CI 0.49~1.01),极早产率(AOR 1.47,95% CI 0.55~ 3.96),低出生体质量率(AOR 1.38,95% CI 0.86~2.22),极低出生体质量率(AOR 0.76,95% CI 0.20~2.83)以及先天 异常率(AOR 1.58,95% CI 0.66~3.76)两组仍然没有统计学差异(P>0.05)。【结论】新鲜囊胚冷冻后择期复苏移植 能获得较好的新生儿结局,是目前较佳的囊胚培养和移植方案。
Abstract
【Objective】To compare the single live birth outcomes of blastocyst transfer between vitrified blastocyst and blastocyst cultured from thawing cleavage embryo,so as to choose the best scheme of blastocyst transfer.【Methods】 Retrospective analysis of the single live birth clinical data of 1 037 vitrified blastocyst compared with 690 blastocyst cul? tured from thawing cleavage embryo undergoing frozen embryo transplantation(FET)from January 2014 to October 2016 was performed. Mail outcome were including gestational age,neonatal weight,proportion of male neonate,preterm birth rate,very preterm birth rate,low birthweight rate,very low birthweight rate,congenital anomalies rate.【Results】There were no differences between the two groups for gestational age,neonatal weight,proportion of Live birth,health baby and stillbirth(P>0.05). There were no differences in proportion of male neonate(AOR 1.07,95% CI 0.86~1.34),preterm birth rate(AOR 0.7,95% CI 0.49~1.01),very preterm birth rate(AOR 1.47,95% CI 0.55~3.96),low birthweight rate (AOR 1.38,95% CI 0.86~2.22),very low birthweight rate(AOR 0.76,95% CI 0.20~2.83),congenital anomalies rate (AOR 1.58,95% CI 0.66~3.76,P>0.05).【Conclusion】The blastocyst may be the preferable stage for vitrifying andtransfer currently which can obtain good neonatal outcomes.