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挽救ICSI的临床应用价值探讨
引用本文:李萍,沙爱国,周友泉,蒋晓明,纪红. 挽救ICSI的临床应用价值探讨[J]. 解放军医学高等专科学校学报, 2009, 0(6): 1065-1067
作者姓名:李萍  沙爱国  周友泉  蒋晓明  纪红
作者单位:解放军第174医院生殖医学中心,福建厦门361003
摘    要:目的探讨挽救ICSI(R-ICSI)在临床应用的价值及可行性。方法常规IVF周期中,授精4-6 h后观察第2极体,对6 h后明确未排出第2极体的成熟卵母细胞达50%以上者实行R-ICSI,其实施33周期,并与同期113个常规ICSI周期进行比较。结果与常规ICSI比较,R-ICSI的受精率、3原核(3PN)发生率、优质胚胎率、妊娠率、种植率方面差异无统计学意义,1原核(1PN)发生率明显增高(P〈0.01)。结论R-ICSI可以获得较好的临床效果。

关 键 词:卵胞浆内单精子注射  体外受精  挽救ICSI

Evaluation on the Clinical Effect of Rescues ICSI
Li Ping,Sha Ai-guo,Zhou You-quan,Jiang Xiao-ming,Ji Hong. Evaluation on the Clinical Effect of Rescues ICSI[J]. Clinical Journal of Medical Officer, 2009, 0(6): 1065-1067
Authors:Li Ping  Sha Ai-guo  Zhou You-quan  Jiang Xiao-ming  Ji Hong
Affiliation:( Reproduction Center of the 174 Hospital of PLA, Xiamen 361003, China)
Abstract:Objective To evaluate the Clinical effect of rescues ICSI(R-ICSI).Methods from February to December,2008,we observe the second polar body of all mature ocytes in 4-6hours after IVF.R-ICSI was performed on those with absence of the second polar body.There are 33 Circ1ys to put R-ICSI into practice.And we compare with 113 circlys ICSI on the same term.Results There is no statistically difference between R-ICSI and ICSI on ferti1ization rate,appearance rate of 3pn,pregnancy rate and plantation rate,but the rate of the high-quality embryos is lower in R-ICSI,and the appearance rate of 1pn is obviously higher.Conclusion R-ICSI can gain fairly good clinical effect,improve the period pregnancy rate and accumulate a pregnancy rate.
Keywords:ICSI  IVF  R-ICSI
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