nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
您当前所在位置: 首页> 文献列表> 冷冻胚胎保存时限的中国专家共识
2018, 10, v.27 925-931
冷冻胚胎保存时限的中国专家共识
基金项目(Foundation):
邮箱(Email): syp2008@vip.sin;artruijin@163.com;
DOI:
发布时间: 2018-10-15
出版时间: 2018-10-15
移动端阅读
摘要:

胚胎冷冻保存技术是辅助生殖技术的重要衍生技术,它有助于提高单个取卵周期的胚胎利用率和累积妊娠率,降低患者的治疗费用及卵巢过度刺激综合征的发生率,并在生育力保存中发挥重要作用。然而,随着体外受精-胚胎移植周期数的不断增长,冷冻保存胚胎的数量也随之显著增加,其中不少冷冻胚胎长期保存不用(如无主胚胎、欠费胚胎),给各生殖医学中心造成了负担并占用大量社会医疗资源,同时也带来了一系列伦理问题。中华医学会生殖医学分会伦理学组针对胚胎的属性、胚胎冷冻保存安全性和冷冻保存相关处置等问题反复讨论,修订并形成了有关冷冻胚胎保存时限的十条共识,以利于规范我国胚胎冷冻技术的应用及管理。

Abstract:

Embryo cryopreservation is an important derivative of IVF technology.It is helpful to improve the utilization of embryos in each oocyte retrieval cycle and increase the cumulative pregnancy rate.It is also useful to reduce the economic burden of patients and decrease the incidence of OHSS.It plays a vital role in fertility preservation as well.However,the number of frozen embryos accumulated in each IVF center along with the increase of fresh IVF-ET cycles.The suplus frozen embryos,due to failed contact with the couples or couples refusal to pay for further cryopreservation,have occupied a large number of medical resources,and caused heavy burden and ethical problems in each center.The Chinese society for reproductive medicine proposed ten committee opinions regarding the time limit of embryo cryopreservation after discussing the issues including states of embryo,safety of embryo cryopreservation and management of frozen embryo,in order to standardize the utilization and management of embryo cryopreservation technique.

参考文献

[1]Whittingham DG,Leibo SP,Mazur P.Survival of mouse embryos frozen to-196degrees and-269degrees C[J].Science,1972,178:411-414.

[2]Wilmut I.The effect of cooling rate,warming rate,cryoprotective agent and stage of development on survival of mouse embryos during freezing and thawing[J].Life Sci II,1972,11:1071-1079.

[3]Trounson A,Mohr L.Human pregnancy following cryopreservation,thawing and transfer of an eight-cell embryo[J].Nature,1983,305:707-709.

[4]European IVF Monitoring Consortium,European Society of Human Reproduction and Embryology.Assisted reproductive technology in Europe,2011:results generated from European registers by ESHRE[J].Hum Reprod,2016,31:233-248.

[5]Cohen J,Inge KL,Wiker SR,et al.Duration of storage of cryopreserved human embryos[J].J In Vitro Fert Embryo Transf,1988,5:301-303.

[6]Glenister PH,Lyon MF.Long-term storage of eight-cell mouse embryos at-196degrees C[J].J In Vitro Fert Embryo Transf,1986,3:20-27.

[7]Maheshwari A,Raja EA,Bhattacharya S.Obstetric and perinatal outcomes after either fresh or thawed frozen embryo transfer:an analysis of 112,432 singleton pregnancies recorded in the Human Fertilisation and Embryology Authority anonymized dataset[J].Fertil Steril,2016,106:1703-1708.

[8]Wong KM,van Wely M,Mol F,et al.Fresh versus frozen embryo transfers in assisted reproduction[DB/OL].Cochrane Database Syst Rev,2017,(3):CD011184.

[9]Alviggi C,Conforti A,Carbone IF,et al.Does cryopreservation influence perinatal outcome after blastocyst-stage vs cleavagestage transfer?A systematic review and meta-analysis[J].Ultrasound Obstet Gynecol,2018,51:54-63.

[10]Riggs R,Mayer J,Dowling-Lacey D,et al.Does storage time influence postthaw survival and pregnancy outcome?An analysis of 11,768cryopreserved human embryos[J].Fertil Steril,2010,93:109-115.

[11]Wirleitner B,Vanderzwalmen P,Bach M,et al.The time aspect in storing vitrified blastocysts:its impact on survival rate,implantation potential and babies born[J].Hum Reprod,2013,28:2950-2957.

[12]Liu Q,Lian Y,Huang J,et al.The safety of long-term cryopreservation on slow-frozen early cleavage human embryos[J].J Assist Reprod Genet,2014,31:471-475.

[13]Revel A,Safran A,Laufer N,et al.Twin delivery following 12years of human embryo cryopreservation:case report[J].Hum Reprod,2004,19:328-329.

[14]Quintans CJ,Donaldson MJ,Bertolino MV,et al.Birth of a healthy baby after transfer of embryos that were cryopreserved for8.9years[J].Fertil Steril,2002,77:1074-1076.

[15]Dowling-Lacey D,Mayer JF,Jones E,et al.Live birth from a frozen-thawed pronuclear stage embryo almost 20years after its cryopreservation[J].Fertil Steril,2011,95:1120.e1-3.

[16]Reed ML,Hamic A,Caperton CL,et al.Live birth after anonymous donation of twice-cryopreserved embryos that had been stored in liquid nitrogen for a cumulative storage time of approximately 13.5years[J].Fertil Steril,2010,94:2771.e1-3.

[17]Kopeika J,Thornhill A,Khalaf Y.The effect of cryopreservation on the genome of gametes and embryos:principles of cryobiology and critical appraisal of the evidence[J].Hum Reprod Update,2015,21:209-227.

[18]Jin X,Wang G,Liu S,et al.Patients’attitudes towards the surplus frozen embryos in China[J].Biomed Res Int,2013,2013:934567.

[19]Lyerly AD,Steinhauser K,Voils C,et al.Fertility patients’views about frozen embryo disposition:results of a multiinstitutional US survey[J].Fertil Steril,2010,93:499-509.

[20]中华人民共和国国家卫生和计划生育委员会.卫生部关于修订人类辅助生殖技术与人类精子库相关技术规范、基本标准和伦理原则的通知(卫科教发[2003]176号)[Z].2003.

[21]Moutel G,Gregg E,Meningaud JP,et al.Developments in the storage of embryos in France and the limitations of the laws of bioethics.Analysis of procedurevage centres and the destiny of stored embryos[J].Med Law,2002,21:587-604.

[22]中华人民共和国国家卫生和计划生育委员会.卫生部关于印发人类辅助生殖技术与人类精子库校验实施细则的通知(卫科教发[2006144号])[Z].2006.

[23]Ethics Committee of the American Society for Reproductive.Disposition of abandoned embryos:a committee opinion[J].Fertil Steril,2013,99:1848-1849.

[24]Shenfield F,Pennings G,Sureau C,et al.The cryopreservation of human embryos[J].Hum Reprod,2001,16:1049-1050.

[25]Hammond-Browning N.Ethics,embryos,and evidence:a look back at warnock[J].Med Law Rev,2015,23:588-619.

[26]Japan Society of Reproductive Medicine.Guidelines for modern ART[M].2nd ed.Tokyo:Kanehara Publishers,2003.

[27]中国台湾卫生署.台湾人工生殖法[Z].2007.

[28]中国香港人类生殖科技管理局.生殖科技及胚胎研究实务守则[Z].2013.

基本信息:

中图分类号:R714.8

引用信息:

[1]全松,黄国宁,孙海翔,等.冷冻胚胎保存时限的中国专家共识[J].生殖医学杂志,2018,27(10):925-931.

发布时间:

2018-10-15

出版时间:

2018-10-15

检 索 高级检索

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文