Influence of vitrification method on clinical outcome of human frozen-thawed cleaved embryo transfer

Qianru Liu, Qi-jian Huang, Linsheng Chi, Jing-ti Zhang, Li Zhu
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Abstract

Objective To investigate the influence of vitrification method on clinical outcome of human frozen-thawed cleaved embryo transfer.Methods In the in vitro fertilization and embryo transfer cycles,supernumerary embryos were cryopreserved by vitrification or slow-freezing sequencing method.The embryo survival rate,intact survival rate,pregnant rate and implantation rate were compared after thawing.Results In 248 vitrified embryo thaw cycles,746 vitrified embryos were thawed,and 643(86.2%) of them survived and 594(79.4%) of them intactly survived after the thawing.In 244 women,632 embryos were transferred,and 107(43.9%) of them got clinical pregnancy,the implantation rate was 26.1% (165/632).As to slow-freezing method,in 225 embryo thaw cycles,818 embryos were thawed,598 (73.1%) of them survived,436(53.3%) of them intactly survived,and 594 embryos were transferred in 225 cycles,and 74 (32.9%) of them got clinical pregnancy,the implantation rate was 15.2%(90/594).The embryo survival rate,intact survival rate,pregnant rate,implantation rate were higher in vitrification group than those in slow-freezing group (P < 0.05).Conclusion Vitrification is a more effective method of cryopreserving the human embryo than conventional slow freezing. Key words: Vitrification;  Slow-freezing sequencing;  Cleaved embryo;  In vitro fertilization and embryo transfer
玻璃化方法对人冻融裂胚移植临床效果的影响
目的探讨玻璃化方法对人冻融裂胚移植临床效果的影响。方法在体外受精和胚胎移植周期中,采用玻璃化冷冻或慢速冷冻测序法对多余胚胎进行冷冻保存。比较解冻后胚胎存活率、完整存活率、受孕率和着床率。结果248个玻璃化胚解冻循环共解冻746个,解冻后存活643个(86.2%),完整存活594个(79.4%)。244例患者共移植胚胎632个,临床妊娠107例(43.9%),着床率26.1%(165/632)。慢速冷冻法225个胚胎解冻周期共解冻818个胚胎,存活598个(73.1%),完整存活436个(53.3%),225个周期共移植594个胚胎,74个(32.9%)获得临床妊娠,着床率为15.2%(90/594)。玻璃化冷冻组胚胎存活率、完整存活率、受孕率、着床率均高于慢速冷冻组(P < 0.05)。结论玻璃化冷冻是一种比常规慢速冷冻更有效的冷冻保存方法。关键词:玻璃化;慢慢冷冻测序;裂解胚胎;体外受精和胚胎移植
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