国际生殖健康/计划生育 ›› 2017, Vol. 36 ›› Issue (5): 412-416.

• 综述 • 上一篇    下一篇

卵母细胞体外成熟技术的临床应用进展

李涵,杨志勇,千日成   

  1. 200032 上海,同济大学附属第十人民医院生殖医学中心(李涵,杨志勇,千日成);加拿大麦吉尔大学妇产科(千日成)
  • 收稿日期:2017-06-06 修回日期:2017-07-03 出版日期:2017-09-15 发布日期:2017-10-13
  • 通讯作者: 千日成,E-mail:ri-cheng.chian@mcgill.ca E-mail:ri-cheng.chian@mcgill.ca
  • 基金资助:
    国家重点研发计划(2017YFC1001600)

Clinical Application of In Vitro Oocyte Maturation

LI Han, YANG Zhi-yong, CHIAN Ri-cheng   

  1. Center for Reproductive Medicine, The 10th People′s Hospital of Tongji University, Shanghai 200032, China(LI Han, YANG Zhi-yong, CHIAN Ri-cheng);Department of Obstetrics and Gynecology, McGill University, Montreal, Canada(CHIAN Ri-cheng)
  • Received:2017-06-06 Revised:2017-07-03 Published:2017-09-15 Online:2017-10-13
  • Contact: CHIAN Ri-cheng,E-mail:ri-cheng.chian@mcgill.ca E-mail:ri-cheng.chian@mcgill.ca

摘要: 卵母细胞体外成熟(in vitro maturation,IVM)是将处于不同时期的未成熟卵母细胞体外培养成熟的技术,临床不同来源的未成熟卵母细胞在胚胎发育潜能、妊娠率和活产率等方面存在差异。IVM作为一种有效治疗手段可应用于治疗多囊卵巢综合征、卵巢高反应及低反应患者、癌症患者生育力保存等,该技术已在全世界应用并有数千名健康婴儿出生。临床IVM技术的改进主要包括 IVM培养基的改良、培养环境及操作流程的优化。目前,随着体外受精(IVF)效率的提高和培养体系的改进,自然周期或温和刺激可能更适合于进行IVF治疗的女性。新的治疗方案提出将自然周期/温和刺激IVF与IVM结合,温和刺激IVF联合IVM治疗方案不仅有望成为目前标准治疗的可行替代方案,而且可能是潜在的一线治疗选择。

关键词: 卵母细胞, 细胞培养技术, 生殖技术, 辅助, 受精, 体外

Abstract: In vitro maturation (IVM) refers to the maturation of immature oocytes at different stages. Immature oocytes obtained in different origins have different subsequent embryonic development capacity and pregnancy rates as well health live births rates. IVM as an efficient treatment has been used in those patients with polycystic ovary syndrome, ovary high response or low response, and fertility preservation. Several thousands of healthy IVM babies have been born in the world. The improvement of clinical IVM technology  focuses on IVM medium, the optimization of the culture environment and operation process. With the improvement of IVF efficiency and IVM culture system, the new treatment option was proposed that the combination of natural cycle/mild stimulation IVF treatment with immature oocyte retrieval and the followed IVM. This IVF combined with IVM may represent a viable alternative to the present standard treatment, or as a potential first-line treatment in future.

Key words: Oocytes, Cell culture techniques, Reproductive technologies, assisted, Fertilization in vitro

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