A prospective study on oocyte survival rate after ICSI: Influence of injection technique and morphological features

被引:71
作者
Ebner, T [1 ]
Yaman, C [1 ]
Moser, M [1 ]
Sommergruber, M [1 ]
Jesacher, K [1 ]
Tews, G [1 ]
机构
[1] Womens Gen Hosp, IVF Unit, A-4010 Linz, Austria
关键词
degeneration of oocytes; fertilization rate; ICSI technique; morphology of oocyte;
D O I
10.1023/A:1013171505702
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Purpose. To determine the influence of technical pitfalls and oocyte morphology on survival rate and cleavage behavior after ICSI. Methods. A total of 2210 injection procedures was examined for morphological and technical deviations. Survival rate and cleavage behavior were evaluated. Results. In 77.8% of all cases ICSI was unsuspicous. Out of 491 deviations from optimal injection deep penetration of the oocyte and abundant presence of cumulus cells showed significant correlation with degeneration rate (p < 0.001). Morphological anomalies associated with the periphery of the oocyte were rather related to degeneration than cytoplasmic anomalies (p < 0.001). Early embryonic development was not impaired by technical or morphological parameters. Conclusions: To conclude, these prospective data may be of prognostic value in regard of the number of embryos available for transfer and may help to improve treatment outcome.
引用
收藏
页码:623 / 628
页数:6
相关论文
共 27 条
[1]   Intracytoplasmic sperm injection in dysmorphic human oocytes [J].
Alikani, M ;
Palermo, G ;
Adler, A ;
Bertoli, M ;
Blake, M ;
Cohen, J .
ZYGOTE, 1995, 3 (04) :283-288
[2]   Sperm deposition site during ICSI affects fertilization and development [J].
Blake, M ;
Garrisi, J ;
Tomkin, G ;
Cohen, J .
FERTILITY AND STERILITY, 2000, 73 (01) :31-37
[3]   Oolemma rupture inside the intracytoplasmic sperm injection needle significantly improves the fertilization rate and reduces oocyte damage [J].
Carrillo, AJ ;
Atiee, SH ;
Lane, B ;
Pridham, DD ;
Risch, P ;
Silverman, IH ;
Cook, CL .
FERTILITY AND STERILITY, 1998, 70 (04) :676-679
[4]  
COHEN J, 1991, FERTIL STERIL, V56, P696
[5]  
COHEN J, 1988, LANCET, V2, P162
[6]   In-vitro matured metaphase-I oocytes have a lower fertilization rate but similar embryo quality as mature metaphase-II oocytes after intracytoplasmic sperm injection [J].
De Vos, A ;
Van de Velde, H ;
Joris, H ;
Van Steirteghem, A .
HUMAN REPRODUCTION, 1999, 14 (07) :1859-1863
[7]  
DeSutter P, 1996, HUM REPROD, V11, P595
[8]   HUMAN OOCYTE ACTIVATION FOLLOWING INTRACYTOPLASMIC INJECTION - THE ROLE OF THE SPERM CELL [J].
DOZORTSEV, D ;
RYBOUCHKIN, A ;
DESUTTER, P ;
QIAN, C ;
DHONT, M .
HUMAN REPRODUCTION, 1995, 10 (02) :403-407
[9]   Embryo development and chromosomal anomalies after ICSI: effect of the injection procedure [J].
Dumoulin, JCM ;
Coonen, E ;
Bras, M ;
Bergers-Janssen, JM ;
Ignoul-Vanvuchelen, RCM ;
van Wissen, LCP ;
Geraedts, JPM ;
Evers, JLH .
HUMAN REPRODUCTION, 2001, 16 (02) :306-312
[10]   Prognostic value of first polar body morphology on fertilization rate and embryo quality in intracytoplasmic sperm injection [J].
Ebner, T ;
Yaman, C ;
Moser, M ;
Sommergruber, M ;
Feichtinger, O ;
Tews, G .
HUMAN REPRODUCTION, 2000, 15 (02) :427-430