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ICSI中不同来源精子对临床结局的影响
引用本文:宋成,曾勇,胡晓东,成金泉,黄菊,黄丽施,张微. ICSI中不同来源精子对临床结局的影响[J]. 中华男科学杂志, 2009, 15(9): 822-824
作者姓名:宋成  曾勇  胡晓东  成金泉  黄菊  黄丽施  张微
作者单位:深圳中山泌尿外科医院生殖医学中心,广东,深圳,518001
摘    要:目的:分析不同来源精子在卵细胞胞质内单精子注射(ICSI)后的临床结局。方法:将682个ICSI治疗周期分为:射出精子组(598例)、经皮附睾精子抽吸术(PESA)得到精子组(58例)、睾丸精子获取术(TSE)得到精子组(26例),比较三组的受精率、临床妊娠率、种植率、流产率、异位妊娠率以及分娩率之间的差别。结果:TSE组受精率明显低于射出精子组和PESA组(81.06%vs87.95%,87.82%,P<0.05);射出精子组、PESA组和TSE组的妊娠率(39.46%,48.28%,34.62%)、种植率(19.80%,23.80%,18.34%)、流产率(13.13%,17.86%,11.11%)、异位妊娠率(5.51%,7.14%,11.11%)、分娩率(32.11%,36.21%,26.92%),均没有显著差异(P>0.05)。结论:虽然TSE来源精子对ICSI受精率有所影响,但射出精子和手术(TSE和PESA)来源精子对妊娠结局没有影响。

关 键 词:精子  卵细胞胞质内单精子注射  射精  经皮附睾精子抽吸术  睾丸精子获取术

Influence of Sperm from Different Sources on the Clinical Outcome of Intracytoplasmic Sperm Injection
SONG Cheng,ZENG Yong,HU Xiao-dong,CHENG Jin-quan,HUANG Ju,HUANG Li-shi,ZHANG Wei. Influence of Sperm from Different Sources on the Clinical Outcome of Intracytoplasmic Sperm Injection[J]. National journal of andrology, 2009, 15(9): 822-824
Authors:SONG Cheng  ZENG Yong  HU Xiao-dong  CHENG Jin-quan  HUANG Ju  HUANG Li-shi  ZHANG Wei
Affiliation:(Center of Assisted Reproductive Techniques, Shenzhen Zhongshan Urology Hospital, Shenzhen, Guangdong 518001, China)
Abstract:Objective:To analyze the clinical outcomes of intracytoplasmic sperm injection (ICSI) with spermatozoa from different sources. Methods: We retrospectively studied the rates of fertilization,clinical pregnancy,implantation,abortion,ectopic pregnancy and delivery in 682 patients treated by ICSI,who were divided according to the sperm sources into an ejaculated sperm group (ES,n=598),a percutaneous epididymal sperm aspiration (PESA,n=58) and a testicular sperm extraction (TSE,n=26). Results: The fertilization ...
Keywords:sperm  intracytoplasmic sperm injection  ejaculation percutaneous epididymal sperm aspiration  testicular sperm extraction  
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