国际生殖健康/计划生育 ›› 2020, Vol. 39 ›› Issue (2): 158-162.

• 综述 • 上一篇    下一篇

生殖道微生物组学在胚胎移植中应用的研究进展

任姝晴,张崴   

  1. 301617 天津中医药大学(任姝晴);天津中医药大学第二附属医院妇科(张崴)
  • 收稿日期:2019-10-19 修回日期:2020-01-07 出版日期:2020-03-15 发布日期:2020-03-15
  • 通讯作者: 张崴,E-mail:zhangwei81010@126.com E-mail:zhangwei81010@126.com

Research Progress in Application of Reproductive Tract Microbiomes in Embryo Transfer

REN Shu-qing,ZHANG Wei   

  1. Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China(REN Shu-qing);Department of Gynecology,The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China(ZHANG Wei)
  • Received:2019-10-19 Revised:2020-01-07 Published:2020-03-15 Online:2020-03-15
  • Contact: ZHANG Wei,E-mail:zhangwei81010@126.com E-mail:zhangwei81010@126.com
  • Supported by:
     

摘要: 胚胎移植(ET)技术是当代治疗不孕症的核心技术,目前ET的临床妊娠率仅有29.7%~43.4%。ET成功率受多种因素影响,生殖道感染是其中重要的影响因素之一。生殖道微生物组是人体重要的微生态体系之一,与宿主、环境之间构成了相互制约、相互协调的微生态平衡,在维护女性生殖道健康中起着关键作用。临床上通过评价ET前生殖道微生态状况,可及时发现生殖道疾病的危险因素,提高ET成功率。生殖道微生物组影响ET成功率的机制可能与宫腔定植菌群改变引起异常炎症及免疫反应进而影响子宫内膜容受性有关。本文通过对生殖道微生物组学在ET中应用的研究进展作一综述,以期为提高ET成功率提供新的思考方向。

关键词: 微生物群;, 生殖道感染;, 不育, 女(雌)性;, 体外受精;, 胚胎移植;, 子宫内膜

Abstract: Embryo transfer (ET) technology is Embryo transfer (ET) is one of the core technologies of contemporary treatment of infertility. At present, the clinical pregnancy rate of ET is only 29.7%-43.4%. The success rate of embryo transfer is affected by many factors, and reproductive tract infection is one of those factors. The reproductive tract microbiome is one of the important micro-ecological systems of the human body. It forms a mutually-restricted and coordinated micro-ecological balance between the host and the environment, and plays a key role in maintaining female reproductive tract health. By evaluating the microecological status of the genital tract before ET, the risk factors of genital tract diseases can be found in time, and the success rate of ET can be improved. The mechanism by which the reproductive tract microbiome affects the success rate of embryo transfer may be related to the abnormal inflammation and immune response caused by changes in the colonic flora of the uterine cavity, which in turn affect endometrial receptivity. The research progress in the application of reproductive tract microbiology in embryo transfer was reviewed in order to provide a new direction for improving the success rate of embryo transfer.

Key words: Microbiota;, Reproductive tract infections;, Infertility, female;, Fertilization in vitro;, Embryo transfer;, Endometrium

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