Journal of International Reproductive Health/Family Planning ›› 2014, Vol. 33 ›› Issue (4): 274-276.

• 论著 • Previous Articles     Next Articles

Impact of Embryo Blastomere Number and D2 or D3 Cryopreservation after in Vitro Fertilization on the Clinical Outcomes of the Frozen-thawed Embryo Transfer

JIAO Jie-hua,ZHU Gui-jie,TAN Li   

  1. The Pingdingshan Fifth People′s Hospital,Pingdingshan 467000,Henan Province,China(JIAO Jie-hua);Reproductive Medical Center,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China(ZHU Gui-jie,TAN Li)
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-07-15 Online:2014-07-15
  • Contact: TAN Li

Abstract: Objective: To explore the impact of embryo blastomere number at cryopreservation, and different cryopreservation time on day 2 (D2) or day 3 (D3) after in vitro fertilization,on the clinical outcomes of the frozen-thawed embryo transfer(FET). Methods:This is a retrospective analysis on 417 FET cycles. The patients were respectively divided into different groups according to cryopreservation time after in vitro fertilization,embryo blastomere number and good-quality embryo number. The clinical outcomes of the embryo-transfer were compared. Results:The embryo survival rate and total blastomere survival rate in the group of the blastomere number exceeded 4-cells on D2 after frozen-thawed were significantly higher than those in the group of the blastomere number less than 4-cells(89.35% vs. 79.11%,42.01% vs. 30.22% respectively,P<0.05). Compared with the group of blastomere less than 6-cells on D3,the group of blastomere exceeded 6-cells on D3 had higher embryo survival rate and total blastomere survival rate(86.52% vs. 72.43%,41.13% vs. 31.07%,P<0.01). The good-quality embryo rate on D2(56.84%) was significantly higher than that on D3 (48.82%),while the clinical pregnancy rate on D3(38.52%) was significantly higher than that of D2 (27.61%). There was no significant difference in the embryo survival rate and abortion rate between D2 and D3 (83.50% vs. 79.44%,10.81% vs. 10.09%,P>0.05) after frozen-thawed embryo-transfer. More good-quality embryos were transferred,higher the clinical pregnancy rate and multiple pregnancy rate obtained(P<0.05). Conclusions:Cryopreservation of more than 4 blastomeres on D2 and more than 6 blastomeres on D3 could get better frozen-thawed effect. The clinical outcomes of D3 cryopreservation embryo after FET were superior to D2 embryo.

Key words: Embryo cryopreservation, Frozen-thawed embryo transfer, Survival rate, Pregnancy rate