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目的比较常规体外受精(IVF)和卵泡浆内单精子注射(ICSI)受精对临床结局的影响。方法选取在我中心进行治疗的674病例共726周期(IVF648周期,ICSI78周期),比较两组不同受精方式获得的正常受精率、卵裂率、优胚率、冷冻率、平均移植胚胎数、妊娠率。结果ICSI组的正常受精率、卵裂率、优胚率、冷冻率、妊娠率、平均移植胚胎数分别为80.88%、93.80%、56.98%、56.32%、34.48%、2.00±0.53个,而IVF组为67.52%、97.71%、51.75%、60.65%、41.2%、2.04±0.73个。ICSI组正常受精率、优胚率较IVF组高,但IVF组卵裂率较ICSI高,并且有统计学意义(P<0.05),而冷冻率、妊娠率、平均移植胚胎数两组无统计学意义(P>0.05)。结论ICSI治疗严重男性不育症可获得与IVF治疗女性不孕症相近的临床效果。
Objective To compare the effects of routine in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) on clinical outcomes. Methods A total of 674 cases were treated in our center for 726 cycles (IVF648 cycle, ICSI78 cycle). The normal fertilization rate, cleavage rate, excellent embryo rate, freezing rate, average number of embryos transferred, pregnancy rate rate. Results The normal fertilization rate, cleavage rate, excellent embryo rate, freezing rate, pregnancy rate and average number of embryos transferred in ICSI group were 80.88%, 93.80%, 56.98%, 56.32%, 34.48% and 2.00 ± 0.53, respectively. The group was 67.52%, 97.71%, 51.75%, 60.65%, 41.2%, 2.04 ± 0.73. The normal fertilization rate and excellent embryo rate of ICSI group were higher than those of IVF group, but the cleavage rate of IVF group was higher than that of ICSI group (P <0.05), while the freezing rate, pregnancy rate and average number of embryos transferred were no statistics Significance (P> 0.05). Conclusion ICSI treatment of severe male infertility can be obtained with IVF treatment of female infertility similar clinical results.