
5月31日,三孩生育政策的“出爐”后,輔助生殖技術(shù)又成為了討論熱門!業(yè)內(nèi)分析認(rèn)為,三孩生育政策放開有望帶來(lái)更多傳統(tǒng)意義上的高齡孕齡人群加入到備孕大軍中,從而為輔助生殖行業(yè)帶來(lái)更多需求。
生育率下滑的主要原因有育齡婦女人數(shù)減少、生育時(shí)間推遲和生育養(yǎng)育成本提高等,同時(shí)體現(xiàn)的數(shù)據(jù)還有女性的平均生育年齡一延再延。從生理上看,生育時(shí)間的推遲,會(huì)提升不孕不育的概率,從而提升輔助生殖行業(yè)的需求。
輔助生殖指采用醫(yī)療輔助手段幫助不孕不育夫婦妊娠,其中包括人工授精、配子移植、試管嬰兒等。但這些治療技術(shù)可能都面臨著反復(fù)的試驗(yàn),接受治療的群體常常要經(jīng)受較為艱辛的療程。大家熟知的演員張庭自爆自己做了9次試管嬰兒,扎了成百上千針,才辛苦誕下孩子。
還有一些患者,自身可能并不具備接受試管嬰兒的治療條件,比如子宮內(nèi)膜至少需要在6-7mm厚時(shí)才能夠具備試管嬰兒的胚胎生長(zhǎng)條件。但一些患者可能會(huì)因原發(fā)(先天功能不完整)或繼發(fā)性(接受過(guò)刮宮或者因?yàn)檠装Y導(dǎo)致內(nèi)膜病變有瘡疤甚至粘連)的病變導(dǎo)致子宮內(nèi)環(huán)境不適宜胚胎發(fā)育,此時(shí)就需要進(jìn)行治療干預(yù)。
原發(fā)或繼發(fā)性不孕或者反復(fù)的試管嬰兒失敗、更年期綜合征等都在干細(xì)胞治療不孕不育的適應(yīng)癥范圍內(nèi),之前就有央視等媒體對(duì)此進(jìn)行過(guò)報(bào)道。

干細(xì)胞的來(lái)源主要有以下幾種:
圍產(chǎn)期干細(xì)胞
自體骨髓干細(xì)胞
自體子宮內(nèi)膜干細(xì)胞
自體脂肪干細(xì)胞
自體外周血造血干細(xì)胞
這幾種來(lái)源的干細(xì)胞各有各的優(yōu)勢(shì),圍產(chǎn)期干細(xì)胞包括臍帶間充質(zhì)干細(xì)胞和胎盤羊膜或蛻膜間充質(zhì)干細(xì)胞,它的特點(diǎn)是分化能力強(qiáng),可增殖培育的空間更大,更為純凈。而另外幾種自體來(lái)源的干細(xì)胞,尤其是脂肪干細(xì)胞或外周血造血干細(xì)胞,具有數(shù)量充足,采集受時(shí)間限制小,無(wú)排斥反應(yīng)等特點(diǎn)。
干細(xì)胞治療不孕不育的作用機(jī)制:
1.干細(xì)胞具有歸巢效應(yīng),可以準(zhǔn)確到達(dá)受損部位。
2.干細(xì)胞再生分化能力,可以促進(jìn)卵巢組織或子宮內(nèi)膜等受損部位修復(fù)。
3.旁分泌機(jī)制,分泌干細(xì)胞生長(zhǎng)因子等物質(zhì),調(diào)節(jié)微環(huán)境,抑制細(xì)胞凋亡。
干細(xì)胞的臨床應(yīng)用不僅可以用于修復(fù)子宮內(nèi)膜,還可以直接作用于卵巢。早在2018年,我國(guó)迎來(lái)了干細(xì)胞治療卵巢早衰臨床試驗(yàn)誕生的首個(gè)健康寶寶。

據(jù)興業(yè)證券測(cè)算,我國(guó)輔助生殖市場(chǎng)發(fā)展前景廣闊。國(guó)內(nèi)目前有約4880萬(wàn)對(duì)不孕不育夫婦。隨著人們對(duì)不孕不育的治療態(tài)度越來(lái)越積極,以及消費(fèi)理念的升級(jí)。未來(lái)國(guó)內(nèi)輔助生殖市場(chǎng)前景廣闊,預(yù)計(jì)未來(lái)5年將以11.2%年復(fù)合增速快速增長(zhǎng)。相信干細(xì)胞治療不孕不育等新的技術(shù)可以更好更快的幫助解決渴望子女家庭的生育痛點(diǎn)。
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