国际生殖健康/计划生育 ›› 2012, Vol. 31 ›› Issue (5): 373-377.

• 热点问题 • 上一篇    下一篇

如何通过精子选择获得最佳妊娠率

王雪梅,冯怀亮   

  1. 450052 郑州大学第三附属医院生殖医学中心(王雪梅);美国康奈尔大学威尔医学院,纽约医院皇后医疗中心(冯怀亮)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-09-15 发布日期:2012-09-15
  • 通讯作者: 冯怀亮

How to Achieve the Best ART Pregnancy Rate via Sperm Selection

WANG Xue -mei,FENG Huai-liang   

  1. Reproductive Medical Center,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China(WANG Xue -mei);Departments of Laboratory Medicine,New York Hospital Queens,Weill Medical College ofCornell University,Flushing,New York,USA(FENG Huai-liang)
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-09-15 Online:2012-09-15
  • Contact: FENG Huai-liang

摘要: 人类辅助生殖技术(ART)中获得成熟、细胞结构及DNA 完整、无凋亡的精子是改善ART 妊
娠结局的重要环节。利用精子大小和表面电荷制作的电泳微流精子分离仪等可以快速获得细胞膜成熟的
精子;利用凋亡精子的细胞膜表面磷脂酰丝氨酸外显化与膜连蛋白吁磁珠结合,优选无凋亡的精子;精子
胞浆膜上透明质酸结合位点的形成是精子细胞膜成熟的标志,应用该特性可筛选细胞膜成熟精子;超高倍
显微镜的发明和应用,为分辨精子亚细胞器提供了便利;SperMagic 在促进精子运动、提高精子受精能力及
ART 妊娠率方面具有独特的作用。利用以上方法处理精子,与常规密度梯度离心法比较,在受精率、胚胎质
量以及妊娠率等方面各有不同。寻找到能够提高ART 妊娠结局的理想精子任重而道远。

关键词: 精子, 生殖技术, 辅助, 精子注射, 细胞质内, 受精, 体外, 妊娠率

Abstract: It is important to get the mature sperm with cellular structure and DNA intact and non-apoptosis for high ART pregnancy rate. The electrophoresis microflew sperm sorter based on sperm size andsurface charge can be used to get quickly the membrane mature sperm. The non -apoptotic sperm can beselected by the outer surface of sperm membrane phosphatidylserine externalization binding with Annexin-V-conjugated paramagnetic microbeads. The formation of hyaluronic-acid (HA)-binding sites on sperm membraneis one of signs of sperm maturation, by which the sperm of membrane mature can be selected. The ultra-microscope provides convenience to distinguish subcellular organelles of sperm. SperMagic hasa unique role inpromoting sperm motility and improving sperm fertilizing capacity ,and consequently increases pregnancy rate.Compared with the routine density gradient centrifugation method, above methods to deal with sperm will resultin different fertilization rate ,embryo quality and pregnancy rate. More efforts to improve ART pregnancyoutcome will still be how to get the ideal sperm.

Key words: Spermatozoa, Reproductive techniques, assisted, Sperm injections, intracytoplasmic, Fertil ization in Vitro, Pregnancy rate