冷冻胚胎保存时限的中国专家共识  

CSRM committee opinions regarding the time limit of embryo cryopreservation

作　　者：全松[1] 黄国宁[1] 孙海翔[1] 范立青[1] 沈浣[1] 刘平[1] 卢文红[1] 张云山[1] 王秀霞[1] 张松英[1] 黄学锋[1] 伍琼芳[1] 周灿权[1] 周从容[1] 师娟子[1] 孙莹璞[1] 冯云[1] QUAN Song;HUANG Guo-ning;SUN Hai-xiang;FAN Li-qing;SHEN Huan;LIU Ping;LU Wen-hong;ZHANG Yun-shan;WANG Xiu-xia;ZHANG Song-ying;HUANG Xue-feng;WU Qiong-fang;ZHOU Can-quan;ZHOU Cong-tong;SHI Juan-zi;SUN Ying-pu;FENG Yun(The Fourth Session of the Committee of Chinese Society of Reproductive Medicine（CSRM)

机构地区：[1]中华医学会生殖医学分会第四届委员会

出　　处：《生殖医学杂志》2018年第10期925-931,共7页Journal of Reproductive Medicine

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。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.

关 键 词：辅助生殖技术 胚胎冷冻 保存时限 伦理 

分 类 号：R714.8[医药卫生—妇产科学]