Title Differential effects of short co-incubation of gametes and early removal of cumulus cells in patients with different fertilizing capabilities
Authors Zhou, Liang
Wang, Jinfeng
Xiao, Lu
Sun, Hongmei
Wang, Yong
Geng, Lan
Hao, Guiqin
Zhang, Chunhui
Xu, Liyan
Qian, Weiping
Affiliation Peking Univ, Shenzhen Hosp, Dept Reprod Med, Shenzhen, Guangdong, Peoples R China.
Keywords early removal of cumulus cells
early rescue
ICSI
IVF
multi-pronuclei
short co-incubation of gametes
IN-VITRO FERTILIZATION
INTRACYTOPLASMIC SPERM INJECTION
CONTROLLED OVARIAN HYPERSTIMULATION
H POST-INSEMINATION
EARLY RESCUE ICSI
IMPROVES IMPLANTATION
SUBSEQUENT PREGNANCY
EMBRYO QUALITY
HUMAN IVF
FAILURE
Issue Date 2016
Publisher REPRODUCTIVE BIOMEDICINE ONLINE
Citation REPRODUCTIVE BIOMEDICINE ONLINE.2016,32(6),591-596.
Abstract The objective of this retrospective study was to evaluate the embryological and clinical outcomes of short co-incubation of gametes and early removal of cumulus cells (SCGERCC) in patients with good IVF capability and those with complete fertilization failure treated by rescue intracytoplasmic sperm injection (ICSI). The study included 257 couples with >60% fertilization rate (SCGERCC group) in the SCGERCC cycle, 72 couples with complete fertilization failure in the SCGERCC cycle given early rescue ICSI treatment (early rescue group), and 219 couples who underwent IVF cycles with overnight co-incubation of gametes with >60% fertilization rate (traditional IVF group). The results showed that the SCGERCC group had a higher multi-pronuclei rate (13.34%, P < 0.001) than the early rescue ICSI (5.15%) and traditional IVF (6.15%) groups. The good quality embryo rate was higher in the SCGERCC group, but implantation, clinical pregnancy and live-birth rates (37.21%, 36.92% and 38.20% for SCGERCC, early rescue and traditional IVF groups, respectively) were comparable in all three groups. The study indicated that SCGERCC followed by rescue ICSI helped couples with initial complete fertilization failure attain clinical outcomes comparable with the other two groups, but it significantly increased the multi-pronuclei rate in couples with good fertilizing capabilities. (C) 2016 Published by Elsevier Ltd on behalf of Reproductive Healthcare Ltd.
URI http://hdl.handle.net/20.500.11897/434301
ISSN 1472-6483
DOI 10.1016/j.rbmo.2016.02.010
Indexed SCI(E)
PubMed
Appears in Collections: 深圳医院

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