精子DNA损伤对试管婴儿助孕结局的影响

    Influence of sperm DNA damage on in vitro fertilization and intracytoplasmic sperm injection outcomes

    • 摘要: 目的:评估精子DNA损伤对试管婴儿助孕结局的影响。方法:对实施试管婴儿的男方精子进行DNA损伤率检测,根据精子DNA损伤率分为损伤组(精子DNA损伤率15%)和正常组(精子DNA损伤率15%),观察比较2组病例的受精率、优质胚胎率、活产率、流产率等指标。结果:损伤组的精子浓度、精子活力、正常形态精子百分率、精子顶体酶活性、体外受精率、优质胚胎率和活产率均明显小于正常组(P0.01);损伤组的精子卵浆内注射技术受精率大于正常组(P0.01);而损伤组的流产率与正常组差异无统计学意义(P0.05)。结论:精子DNA损伤检测对试管婴儿结局有一定的预测作用。

       

      Abstract: Objective: To assess the Influence of sperm DNA damage on the outcomes in vitro fertilization(IVF) and intracytoplasmic sperm injection(ICSI).Methods: The sperm DNA damage level of the infertile men undergoing IVF or ICSI was detected by the sperm chromatin dispersion test,and they were divided into two groups by the sperm DNA damage level 15%.The fertilization rate,good quality embryo rate,live birth rate and abortion rate of the two groups were observed and compared.Results: The sperm density,sperm motility,normal sperm morphology,sperm acrosomal enzyme,good quality embryo rate and live birth rate in DNA damage group were significantly lower than the variables in normal group(P 0.01),the ICSI fertilization rate in DNA damage group was significantly higher than that in normal group(P 0.01).There was no significant difference on statistic in the abortion rate between the two groups(P 0.05).Conclusions: Sperm DNA damage detection may help to predict the outcome of IVF and ICSI to a certain extent.

       

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