Düşük Sperm Konsantrasyonu Olan Hastalarda Tüp Bebek Döngülerinde Sperm Seçiminde Mikroakışkan Kanal Sistemi Kullanmanın Klinik Sonuçlarının Değerlendirilmesi

Year 2023, , 9 - 15, 15.03.2023

Özcan Budak , Mehmet Sühha Bostancı , Osman Köse , Nermin Akdemir , Ahmet Gökçe , Serhan Cevrioğlu

https://doi.org/10.18521/ktd.1171576

Abstract

Amaç: Yeni nesil bir yöntem olan mikroakışkan kanal sistemi (MAC), daha düşük DNA fragmantasyon indekslerine sahip daha kaliteli spermatozoa seçme şansı vermektedir. Bu çalışmada MAC tekniğinin erkek faktörleri nedeniyle ICSI-ET uygulanan hastalarda tedavi sonuçları değerlendirilmiştir.

Gereç ve Yöntem: Çalışmamız Sakarya Üniversitesi ART Merkezinde retrospektif olarak gerçekleştirdi. Çalışmamıza 35 erkek faktörü endikasyonu olan hastalar dahil edildi. Bu hastalarda, ardışık iki IVF döngüsünün ilkinde swim-up (SU), ikincisinde MAC sperm hazırlama tekniği kullanıldı. Çalışmamızda fertilizasyon, kaliteli embriyo sayısı,embriyo transferi sonrası implantasyon, gebelik oranları, beşinci gün embriyo sayısı ve dondurulmuş embriyo sayıları karşılaştırılmıştır.

Bulgular: Döllenme oranı MAC grubunda SU grubuna göre daha yüksekti (P=0.009). MAC grubundaki 3. ve 5. Gün Grade 1 embriyo sayısı SU grubuna göre istatistiksel olarak daha yüksekti (her iki parametre için p=0.000). 5. günde dondurulan kaliteli embriyo sayısı MAC grubunda SU grubuna göre daha yüksekti (P=0.000).

Sonuç: Erkek faktörü olan tüp bebek sikluslarında MAC uygulamasının implantasyon ve gebelik üzerine istatistiksel olarak anlamlı bir katkı sağlamadığını düşünmekteyiz.. Ancak fertilizasyon oranı ve embriyo kalitesini olumlu yönde etkileyebileceğini düşünmekteyiz. Ayrıca döngü sonunda dondurulan embriyo sayısını arttırdığını ve bu nedenle MAC tekniğinin tüp bebek tedavilerine olumlu katkı sağlayabileceğini düşünüyoruz

Keywords

Embriyo implantasyonu, İnfertilite, Mikroakışkan

Supporting Institution

DESTEKLEYEN KURUM YOK

Project Number

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Evaluation Of The Clinical Results Of Using Microfluidic Channel System For Sperm Selection In IVF Cycles In Patients With Low Sperm Concentration

Abstract

Objective: Microfluidic channel system (MAC), a new generation method, gives the chance to select better quality spermatozoa with lower DNA fragmentation indices. This study evaluated the treatment results in patients who underwent ICSI-ET due to the MAC technique's male factors.

Methods: Sakarya University ART Center carried out this retrospective study. Patients with 35 male factor indications were included in our study. In these patients, swim-up (SU) was used in the first of two consecutive IVF cycles, and the MAC sperm preparation technique was used in the second. Our study compared fertilization, quality embryo counts, implantation after fresh embryo transfer, pregnancy rates, fifth-day embryo, and frozen embryo numbers.

Results: Fertilization rate was higher in the MAC group than in the SU group (P=0.009). The number of 3rd and 5th Day Grade 1 embryo in the MAC group was statistically higher than in the SU group (p=0.000 for both parameters). The number of quality embryos frozen on day 5 was higher in the MAC group than in the SU group (P=0.000).

Conclusions: It is thought that MAC application does not make a statistically significant contribution on implantation and pregnancy in IVF cycles performed due to the malefactor. However, it may positively affect fertilization rate and embryo quality. In addition, we think that it increases the number of embryos frozen at the end of the cycle, and for this reason, the MAC technique may provide positive benefits to IVF treatments.

Keywords

Embryo implantation, infertility, microfluidics

Project Number

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