<abstract>Aim: To evaluate the effect of intracytoplasmic sperm injection (ICSI) in the management of cases with a history of conventional in vitro fertilization (IVF) failure. Methods: Two groups of patients, 1...<abstract>Aim: To evaluate the effect of intracytoplasmic sperm injection (ICSI) in the management of cases with a history of conventional in vitro fertilization (IVF) failure. Methods: Two groups of patients, 19 with normal semen parameters and a history of IVF failure (metaphase Ⅱ oocytes: 0~30 %) and 28 with severe male factor infertility received ICSI technology during the same period. Ovarian stimulation was achieved by conventional procedure. Transvaginal ultrasound-guided oocyte collection was done 35~37 h after human chorionic gonadotrophin (hCG) injection. Only metaphase Ⅱ oocytes were selected for microinjection. Results: Fertilization was achieved with ICSI in all the patients. The fertilization rate (75.6 %±21.1 % vs. 73.9 %±19.2 %), cleavage rate (85.1 %±19.3 % vs. 82.7 %±22.1 %), clinical pregnancy rate per embryo transfer cycle (31.6 % vs. 28.6 %) and implantation rate per embryo (15.3 % vs. 14.4 %) did not differ significantly between the two groups. Conclusion: ICSI is a valuable method for couples with a history of IVF failure. These patients may have a similar ICSI result as in severe male infertility.展开更多
<abstract>Aim: To manage male infertility with obstructive azoospermia by means of percutaneous epididymal sperm aspiration (PESA) and intrauterine insemination (IUI). Methods: Ninety azoospermic patients with c...<abstract>Aim: To manage male infertility with obstructive azoospermia by means of percutaneous epididymal sperm aspiration (PESA) and intrauterine insemination (IUI). Methods: Ninety azoospermic patients with congenital bilateral absence of the vas deferens (BAVD, n=58) or bilateral caudal epididymal obstruction (BCEO, n=32) requesting for fine needle aspiration (FNA), PESA and IUI were recruited. The obstruction was diagnosed by vasography and determination of the fructose, carnitine and alpha-glucosidase levels in the seminal fluid. Results: The mean sperm motility, density, abnormal sperm and total sperm count of the caput epdidymis were 16 %±22 %, (12±31) ×106/mL, 55 %±36 % and (16±14)×106, respectively. In the 90 couples, a total of 74 PESA procedures and 66 cycles of IUI were performed. Three pregnancies resulted, including one twin pregnancy giving birth to two healthy boys, one single pregnancy with a healthy girl and another single pregnancy aborted at week 6 of conception. The pregnancy rate per IUI cycle was 4.5 %. Conclusion: The birth of normal, healthy infants by IUI using PESA indicates that the caput epididymal sperm possess fertilization capacity. The PESA-IUI programme is a practical and economical procedure for the management of patients with obstructive azoospermia.展开更多
Objective:To isolate and culture PSSCs from different tissues and determine their characteristics and differentiation potential in vitro. Methods: PSSCs were isolated and cultured from human aborted fetal bone marrow,...Objective:To isolate and culture PSSCs from different tissues and determine their characteristics and differentiation potential in vitro. Methods: PSSCs were isolated and cultured from human aborted fetal bone marrow, liver, skin, skeletal muscle, lung and pancreas. Morphology and biological activities were assessed. Phenotypes were analyzed by FACS and immunohistochemical staining. We tested the potential of PSSCs to differentiate into multiple cell lineages, such as bone, cartilage, fat, muscle, nerve , endothelial cell and hematopoietic progenitor cells. Results:PSSCs could be isolated from human aborted fetal above. PSSCs were a population of adherent cells characterized by a typical fibroblast-like morphology. PSSCs had few endoplasmic reticulum and mitochondrias. It could be expanded by successive cycles of trypsinization, seeding, and culture ex vitro. PSSCs had a capability of passaging up to 30 times without displaying significant changes in morphology, with a 2-fold increase in cell number after each passage. Cell cycle analysis revealed that more than 90% of cells were in the G0/G1 phases, while a small population of cells were actively engaged in proliferation. These cells were positively stained by FITC labeled CD44, CD29, CD13, but negative for CD34, HLA-DR. The culture-expanded PSSCs have multilineage differentiation potential giving rise to cells of osteogenic, chondrogenic, adipogenic, myogenic, neurogenic, hematopoietic and endothelial lineages. Conclusion:PSSCs may still remain in a number of tissues after embryonic development,could be identified by their phenotypic and functional characteristics, and contribute significantly to multipotent differentiation outside the tissue of origin.展开更多
Objective: To evaluate the efficiency of Percoll density gradient and swim-up methods for motile sperm isolation for in vitro fertilization and embryo transfer (IVF-ET) program. Methods: The fertilization rate, cleava...Objective: To evaluate the efficiency of Percoll density gradient and swim-up methods for motile sperm isolation for in vitro fertilization and embryo transfer (IVF-ET) program. Methods: The fertilization rate, cleavage rate, embryo developing status and pregnancy outcome of 362 IVF cycles using sperm obtained by the two methods were studied. Results: There was no significant difference in fertilization rate and cleavage rate between the Percoll and swim-up groups. Although the two groups showed no significant difference in the embryo cell number, the percentage of embryos with<20% debris was significantly higher in the Percoll group (77.6%) than in swim-up group (65.9%). The pregnancy rate and the life birth rate were also significantly higher (P<0.01) in the Percoll group (43.7% and 70.3%, respectively) than in the swim-up group (36.6 % and 60.7 %, respectively). Conclusion: The efficiency of the Percoll density gradient method is superior to the swim-up method in motile sperm separation for the IVF-ET program. [Reprod Contracep (in Chinese) 2002; 22: 292]展开更多
文摘<abstract>Aim: To evaluate the effect of intracytoplasmic sperm injection (ICSI) in the management of cases with a history of conventional in vitro fertilization (IVF) failure. Methods: Two groups of patients, 19 with normal semen parameters and a history of IVF failure (metaphase Ⅱ oocytes: 0~30 %) and 28 with severe male factor infertility received ICSI technology during the same period. Ovarian stimulation was achieved by conventional procedure. Transvaginal ultrasound-guided oocyte collection was done 35~37 h after human chorionic gonadotrophin (hCG) injection. Only metaphase Ⅱ oocytes were selected for microinjection. Results: Fertilization was achieved with ICSI in all the patients. The fertilization rate (75.6 %±21.1 % vs. 73.9 %±19.2 %), cleavage rate (85.1 %±19.3 % vs. 82.7 %±22.1 %), clinical pregnancy rate per embryo transfer cycle (31.6 % vs. 28.6 %) and implantation rate per embryo (15.3 % vs. 14.4 %) did not differ significantly between the two groups. Conclusion: ICSI is a valuable method for couples with a history of IVF failure. These patients may have a similar ICSI result as in severe male infertility.
文摘<abstract>Aim: To manage male infertility with obstructive azoospermia by means of percutaneous epididymal sperm aspiration (PESA) and intrauterine insemination (IUI). Methods: Ninety azoospermic patients with congenital bilateral absence of the vas deferens (BAVD, n=58) or bilateral caudal epididymal obstruction (BCEO, n=32) requesting for fine needle aspiration (FNA), PESA and IUI were recruited. The obstruction was diagnosed by vasography and determination of the fructose, carnitine and alpha-glucosidase levels in the seminal fluid. Results: The mean sperm motility, density, abnormal sperm and total sperm count of the caput epdidymis were 16 %±22 %, (12±31) ×106/mL, 55 %±36 % and (16±14)×106, respectively. In the 90 couples, a total of 74 PESA procedures and 66 cycles of IUI were performed. Three pregnancies resulted, including one twin pregnancy giving birth to two healthy boys, one single pregnancy with a healthy girl and another single pregnancy aborted at week 6 of conception. The pregnancy rate per IUI cycle was 4.5 %. Conclusion: The birth of normal, healthy infants by IUI using PESA indicates that the caput epididymal sperm possess fertilization capacity. The PESA-IUI programme is a practical and economical procedure for the management of patients with obstructive azoospermia.
文摘Objective:To isolate and culture PSSCs from different tissues and determine their characteristics and differentiation potential in vitro. Methods: PSSCs were isolated and cultured from human aborted fetal bone marrow, liver, skin, skeletal muscle, lung and pancreas. Morphology and biological activities were assessed. Phenotypes were analyzed by FACS and immunohistochemical staining. We tested the potential of PSSCs to differentiate into multiple cell lineages, such as bone, cartilage, fat, muscle, nerve , endothelial cell and hematopoietic progenitor cells. Results:PSSCs could be isolated from human aborted fetal above. PSSCs were a population of adherent cells characterized by a typical fibroblast-like morphology. PSSCs had few endoplasmic reticulum and mitochondrias. It could be expanded by successive cycles of trypsinization, seeding, and culture ex vitro. PSSCs had a capability of passaging up to 30 times without displaying significant changes in morphology, with a 2-fold increase in cell number after each passage. Cell cycle analysis revealed that more than 90% of cells were in the G0/G1 phases, while a small population of cells were actively engaged in proliferation. These cells were positively stained by FITC labeled CD44, CD29, CD13, but negative for CD34, HLA-DR. The culture-expanded PSSCs have multilineage differentiation potential giving rise to cells of osteogenic, chondrogenic, adipogenic, myogenic, neurogenic, hematopoietic and endothelial lineages. Conclusion:PSSCs may still remain in a number of tissues after embryonic development,could be identified by their phenotypic and functional characteristics, and contribute significantly to multipotent differentiation outside the tissue of origin.
文摘Objective: To evaluate the efficiency of Percoll density gradient and swim-up methods for motile sperm isolation for in vitro fertilization and embryo transfer (IVF-ET) program. Methods: The fertilization rate, cleavage rate, embryo developing status and pregnancy outcome of 362 IVF cycles using sperm obtained by the two methods were studied. Results: There was no significant difference in fertilization rate and cleavage rate between the Percoll and swim-up groups. Although the two groups showed no significant difference in the embryo cell number, the percentage of embryos with<20% debris was significantly higher in the Percoll group (77.6%) than in swim-up group (65.9%). The pregnancy rate and the life birth rate were also significantly higher (P<0.01) in the Percoll group (43.7% and 70.3%, respectively) than in the swim-up group (36.6 % and 60.7 %, respectively). Conclusion: The efficiency of the Percoll density gradient method is superior to the swim-up method in motile sperm separation for the IVF-ET program. [Reprod Contracep (in Chinese) 2002; 22: 292]
