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妇产科主任医师、医学博士、博士研究生导师,上海市第一妇婴保健院辅助生殖一科主任,辅助生殖中心临床负责人。
目前担任上海市中西医结合学会生殖医学专业委员会副主任委员(候任主委),中国医师协会生殖医学专业委员会委员、中国性学会女性生殖医学分会委员、上海市医学会生殖医学分会委员兼秘书、上海市医师协会生殖医学分会委员兼秘书、九三学社上海市委医疗卫生专门委员会委员等职,为《中华生殖与避孕》、《第二军医大学学报医学版》、《同济大学学报医学版》等多种专业医学期刊的通讯编委或审稿人,担任国家自然科学基金评议专家、教育部学位中心评议专家、上海市教育人才交流服务中心高校教师资格认定专家库成员。
主要研究方向为女性不孕与辅助生殖治疗,擅长妇科内分泌疾病如月经失调、子宫内膜异位症、多囊卵巢的治疗,在人工授精、试管婴儿等辅助生殖技术的用药及手术操作方面经验丰富。
目前承担国家自然科学基金及上海市科委自然基金项目等多项课题,已在国家级专业学术期刊上发表论文30余篇,SCI文章20余篇,参编学术专著4部,作为主要研究成员获得过教育部提名国家科学技术进步二等奖、中国中西医结合科技二等奖及上海市医学科技二等奖。
辅助生殖医学科Assisted Reproductive Medicine
辅助生殖医学科于20世纪80年代起,在已故国内著名妇科内分泌专家邵敬於院长带领下,在不孕症治疗方面率先运用国产药物联合诱发排卵。90年代起开始体外受精-胚胎移植临床应用的研究,1998年诞生我院首例 “试管婴儿” 。1999年,一名绝经3年的57岁妇女在我院经赠卵“试管”受孕分娩。2002年医院通过原上海市卫生局审批开展夫精人工授精(AIH)技术。2006年通过原国家卫生部审批,体外授精胚胎移植(IVF-ET)/单精子卵胞浆内注射技术(ICSI)。2010年通过原上海市卫生局审批开展供精人工授精(AID)。2018年通过上海市卫健委审批开展植入前胚胎遗传学诊断(PGD)技术。目前,医院获准开展所有辅助生殖技术准入项目。是医院重点科室,2019年度获上海市卫生系统先进集体称号。现有医护人员72名,包括中华医学会生殖医学分会常委1人,国家重点专项首席(青年)科学家1人,国家自然基金优青1人;共有主任医(技)师9名、副主任医(技)9名、研究员1名、副研究员1名,博士研究生导师3名,硕士研究生导师9名。临床医技人员基本上具有硕士以上学历,其中博士31名。开设了男性科、生殖遗传咨询、中医助孕、不孕不育、反复种植失败、PCOS助孕、生育力保存、生殖内分泌等专病门诊。2021年完成取卵周期7341个,门诊量20多万。
近5年,发表论文61篇,其中SCI论著17篇,获局级以上课题18项,科研经费1162.7万元:国家自然科学基金项目6项,优秀青年医学人才培养计划1项,启明星计划1项,发明专利2项,实用新型专利2项。牵头制定了中华医学会《ICSI的操作指南》。围绕不孕不育与配子及早期胚胎发育异常这一问题,获得了多项国家及省部级课题支持。2016年首次报道了哺乳动物早期胚胎发育过程中组蛋白修饰建立过程;并利用微量组学技术揭示了克隆胚胎发育阻滞的关键分子机制;揭示了透明带异常导致不孕的机制并提高了短时受精胚胎的发育。相关成果发表在Nature、Cell Stem Cell、Human Genetics及Fertility and Sterility等杂志。研究成果曾入选中国科协2016年度“中国生命科学领域十大进展”。男科实验室的精液分析获德国男科学会质控证书。科室为患者提供个性化的治疗方案和更贴心、暖心、舒心的服务,帮助患者早日圆梦。
Assisted Reproductive Medicine Department
The Assisted Reproductive Medicine department has existed since the 1980's. Under the leadership of the late renowned domestic gynecological endocrinology expert, Dean Jingyu Shao, we were the first to use domestically produced drugs in conjunction with induced ovulation in the treatment of infertility. Since the 1990s, we started research on the clinical application of in vitro fertilization and embryo transfer. In 1998, the first "test-tube baby" was born in our hospital. In 1999, a 57-year-old woman who had been menopausal for three years was successfully impregnated through egg donation and "test-tube" conception. In 2002, our hospital was authorized by the former Shanghai Municipal Health Bureau to implement Artificial Insemination by Husband (AIH) technology. In 2006, approval was granted by the former National Health Ministry for In-Vitro Fertilization Embryo Transfer (IVF-ET) / Intracytoplasmic Sperm Injection (ICSI). In 2010, the former Shanghai Municipal Health Bureau allowed us to perform Artificial Insemination by Donor (AID). In 2018, approval was garnered from Shanghai's Health Commission to implement Preimplantation Genetic Diagnosis (PGD). Currently, the hospital is authorized to carry out all the assisted reproductive technology project. It’s a key department in the hospital and was awarded the title of Advanced Team in Shanghai's health system in 2019.
The department has a total of 72 medical personnel, including one standing committee member of the Reproductive Medicine Branch of the Chinese Medical Association, one chief scientist for the national key project (youth), and one key project of the National Nature Fund Young Scientist; 9 chief doctors (technician), 9 deputy chief doctors (technician), 1 researcher, 1 deputy researcher, 3 doctorate tutors, and 9 master tutors. The clinical medical technicians have a master's degree or above, among which there are 31 doctors. We have opened several specialty clinics including men's department, reproductive genetic counseling, traditional Chinese medicine assisted conception, infertility, recurrent plantation failure, PCOS conception, fertility preservation, and reproductive endocrinology. There were 7341 egg collection cycles and 200,000 outpatient visits in 2021.
Over the past five years, 61 papers have been published, including 17 by SCI; 18 projects at the bureau level and 11.627 million yuan in research funds were obtained. These include the National Natural Science Foundation Project 6, the Training Program for Excellent Young Medical Talents 1, the Qiming Star Project 1, 2 invention patents, and 2 utility model patents. The department leads the establishment of the Chinese Medical Association Guidelines for ICSI.
It has received the support of multiple national and provincial/ministerial-level projects centered on the problem of infertility and abnormalities in gamete and early embryonic development., such as the first report on the establishment of histone modification in the early embryonic development process of mammals in 2016. Using trace-omics technology, it revealed the key molecular mechanism of cloning embryonic development stagnation; it revealed the mechanism of zona pellucida abnormality leading to infertility and improved the development of short-time fertilized embryos. The related achievements are published on Nature, Cell Stem Cell, Human Genetics, and Fertility and Sterility magazines. The research results were selected as one of the "Top Ten Advances in China's Life Sciences in 2016" by the China Association for Science and Technology. The semen analysis of the menses laboratory has been certified by the German Men's College.
The department provides patients with personalized treatment plans and more intimate, warm, and comfortable services, aiming to help patients fulfill their dreams at an early date.
同济大学附属第一妇婴保健院 生殖一科:呵护生命 细心关怀
同济大学附属第一妇婴保健院 生殖一科主任 李昆明教授
科室发展
注重医患人文关怀 打造温暖生殖一科
科室概况
上海市第一妇婴保健院辅助生殖医学科于2006年通过国家卫生部审批,是上海市最早开展辅助生殖技术的机构之一,目前开展体外受精-胚胎移植(IVF-ET)、卵胞浆内单精子注射(ICSI)、植入前遗传学诊断(PGT)、供精人工授精(AID)、夫精人工授精(AIH)等项目。年平均门诊量近15万人次,年完成体外受精- 胚胎移植(试管婴儿)取卵周期6000余,完成胚胎移植近7000周期,移植周期临床妊娠率50%,人工授精1000 余周期。
辅助生殖医学科目前分为三个亚专科,其中生殖一科依托于一妇婴“善良医院”的医院文化,秉承“温暖生殖一科”的理念,注重患者就医感受,竭诚为广大不孕症夫妇解除烦恼,圆你们全家团圆的梦想。生殖一科现有主任医师两名,副主任医师两名,主治医师三名,住院医师四名,其中博士研究生导师1名,硕士研究生导师1名,博士后一名,完善的团队合作保证了患者的就医质量。
如同所有的医学一样,我们无法确保每个患者每次都能成功怀孕,但我们会根据患者的具体情况,制定最合适的治疗计划。我们重视患者的心理感受,注重与患者的沟通,安全、舒适的妊娠一直是我们追求的目标。
秉承个体化治疗理念,实现精准助孕
2015年美国时任总统奥巴马在国情咨文中提出“精准医疗计划”,一时间“精准医疗(Precision Medicine)”成为覆盖全球的热门话题。目前,在医学各个领域迅速发展。生殖一科作为一个经验丰富而质控严格的科室,在坚持辅助生殖技术促排卵方案标准化的基础上,根据每个患者的特点,为患者制定个体化的促排卵方案和药物剂量,实现精准助孕。我们根据患者的年龄、卵巢储备、体重、卵巢手术史、既往促排卵结果等指标,设计个体化的用药,以期获得适量的目标卵子数,为实验室提供高质量的卵母细胞。
除此之外,科室还开设男性不育症的诊断与治疗,从男性因素探寻不孕不育原因。增添生殖遗传门诊、多囊卵巢助孕门诊以及为反复种植失败、复发性流产开设专科门诊。根据患者情况、不孕原因等综合评估,制定不同的辅助生殖治疗方案,做到“因人而异,量体裁衣”的个体化治疗。
立足科研,造福患者家庭
生殖一科注重学术交流及推广,为解决人类辅助生殖技术中的难点及热点问提,多次成功举办“二孩政策下高龄女性助孕策略”学习班,获得了与会专家及学者的一致好评。同时,科室鼓励每一位医生积极投身生殖医学的基础研究,从微观的角度发现更多的致病机制并探索治疗手段。在科室领导和每一位员工的努力下,近年来科室共获得批准课题多项,总项目经费近200万元。其中国家自然科学基金委项目5项,上海市科委课题3项,上海市申康三年行动计划1项,拥有发明专利2项。
寻找不明原因不孕不育的遗传病因一直是个世界难题,刘文强博士和科研团队成员们发现这些患者中有很多与配子及早期胚胎发育异常有关,通过全基因组外显子测序技术确诊了多例不明原因不孕患者的病因。我们注重在临床上发现问题,并将其上升到科研高度,试图去探究临床问题背后的原因与解决办法。我们发现一名透明带缺失的患者,通过家族测序,发现这是一例由ZP2、ZP3双杂合突变导致女性不育的病例,通过动物及细胞模型阐明了其致病机制,患者经过进一步治疗,最终成功受孕并产下健康男婴,这一成果发表在《Human Genetics》杂志上。正因为胚胎实验室的科学家们对临床问题的不断探索,攻坚克难,从科研角度发现了病因,并着结合临床真正造福于一部分存在遗传问题的疑难不孕患者家庭。
人文关怀,贴心管理
“有时能治愈,常常在帮助,总是在安慰”,这句著名的特鲁多医生的座右铭,是生殖一科主任李昆明主任经常用来勉励科室年轻医生,并且身体力行的工作准则。
李昆明主任不仅关注患者的病情,更加关注患者的内心。因此,在繁忙的工作之余,李主任开通了“李昆明医生”公众号,对患者的服务延伸到八小时以外。公众号的留言和互动非常踊跃,连续三年年(2018-2020年)入选上海市十大健康微信公众号综合指数排名(科室/个人类)前十。此外,李主任2018年原创了一首歌曲《生命的曙光》于公众号上发布,给了那些在试管道路上前行的夫妻们温暖的力量。
在李主任的带领下,科室范宇平医生、杨阳医生等都在工作之余利用自己的时间写科普文章,为更多群众普及生殖健康的知识。同时科室推出了多种宣教途帮助患者对治疗过程更加了解。除了传统的文字资料的发放,另还推出了视频课堂循环在门诊大厅播放,患者也可以自行扫描二维码,在家通过网络收看到视频课堂的所有内容。
另外,在工作流程管理上,生殖一科采用责任制医护团队管理服务模式。优势在于患者从初诊开始的所有环节均由固定的医护团队负责管理,让医生和护士对所负责的患者更有责任感;连续性的就诊记录让医生处理患者的问题更有效、直接、迅速;同时患者也不会因为频繁更换医生而导致对医生缺乏信任,反而增强患者的就诊安全感。
护理团队也在2018年积极探索个案护理管理模式在辅助生殖医学科门诊中的运用,以期在现有的医护团队模式下能够充分发挥护士在心理评估、疏导、个体化宣教等方面的作用。
同时,科室管理采用核心小组成员管理模式,团队成员由科室主任、临床负责人、实验室负责人、护士长及临床各组组长组成。每周定期召开核心小组成员会议对近期科室管理中存在的问题进行讨论及方案落实。这些制度较大程度上缩短患者的就医等待时间,把更多的时间还给了患者,为患者提供更好更优质的服务。
未来规划
对于未来发展,同济大学附属第一妇婴保健院生殖一科将始终秉持“人文关怀,温暖一科”的理念。通过细心呵护,不断改进医疗服务方式与流程,让患者缓解焦虑、感受温暖。在技术上我们努力进一步改良,增强治疗效果;继续探索新技术,为疑难杂症的患者提供新的治疗。努力为广大不孕不育患者提供最优质可靠而又温暖贴心的生育诊疗服务。
李昆明主任医师
职务:辅助生殖医学一科主任
擅长领域:女性不孕与辅助生殖治疗,妇科内分泌疾病
专家门诊: 周五下午(东院) 周二下午(西院) 特需门诊: 周一上午(东院) 周三上午(东院) 周五上午(东院) 周二上午(西院)
Kunming Li Chief physician
Position: Director of the First Division of Assisted Reproductive Medicine
Expertise: Female Infertility and Assisted Reproductive Treatment, Gynecological Endocrine Disorders
Expert Outpatient Service: Friday afternoons (East courtyard), Tuesday afternoons (West courtyard)
Special Outpatient Service: Monday mornings (East courtyard), Wednesday mornings (East courtyard), Friday mornings (East courtyard), Tuesday mornings (West courtyard)
—— 个人简介 ——
妇产科主任医师、副教授、医学博士、博士研究生导师,上海市第一妇婴保健院辅助生殖医学一科主任。社会任职:上海市中西医结合学会生殖医学专业委员会副主任委员,中国医师协会生殖医学专业委员会委员,中国性学会女性生殖医学分会委员,九三学社上海市委医疗卫生专门委员会委员,上海市医学会生殖医学分会秘书及委员,上海市医师协会生殖医学分会秘书及委员,上海中西医结合学会妇产科专业委员会常务委员。为《中华生殖与避孕》、《第二军医大学学报医学版》、《同济大学学报医学版》等多种专业医学期刊的通讯编委或审稿人,担任国家自然科学基金评议专家、教育部学位中心评议专家、上海市教育人才交流服务中心高校教师资格认定专家库成员。擅长女性不孕与辅助生殖治疗,擅长妇科疾病如月经失调、子宫内膜异位症、多囊卵巢综合征的治疗,在人工授精、试管婴儿等辅助生殖技术的用药及手术操作方面经验丰富。目前承担国家自然科学基金及上海市科委自然基金项目等多项课题,已在国家级专业学术期刊上发表论文40余篇,SCI文章30余篇,参编学术专著《高危妊娠》、《人类诱发排卵》、《Novak妇科学》、《Williams产科学》4部,拥有发明专利2项,作为主要研究成员获得过教育部提名国家科学技术进步二等奖、中国中西医结合科技二等奖及上海市医学科技二等奖,作为个人获得2022年上海市科普教育创新奖三等奖,获得2021年上海市杰出专科医师、2020年上海最美科普志愿者荣誉称号。
擅长: 女性不孕与辅助生殖治疗,妇科内分泌疾病
Personal Introduction
Chief Physician in Obstetrics and Gynecology, Associate Professor, Doctor of Medicine, and Ph.D. student supervisor. He is also the Director of the First Division of Assisted Reproductive Medicine in Shanghai First Maternal and Child Health Hospital, a member of the Shanghai Medical Association's Reproductive Medicine Branch, the Secretary and member of the Shanghai Physicians Association's Reproductive Medicine Branch, the Standing Committee member of the Shanghai Integrated Traditional Chinese and Western Medicine Association's Reproductive Medicine Profession, the Executive Committee member of the Shanghai Integrated Traditional Chinese and Western Medicine Association's Obstetrics and Gynecology Profession Committee and the member of the China Medical Association's Family Planning Branch's Integrated Traditional Chinese and Western Medicine Professional Group. He is skilled at treating female infertility and assisted reproductive treatments, proficient in managing gynecological endocrine diseases such as menstrual disorders, endometriosis, and polycystic ovary syndrome, and has extensive experience in the medication and surgical operation of assisted reproductive technologies like artificial insemination and IVF. Currently, he is undertaking several projects of the National Natural Science Foundation and the Shanghai Municipal Science and Technology Commission's Natural Science Foundation. He has published over 30 papers in national professional academic journals and has multiple SCI papers. He has co-authored 4 academic books, "High-Risk Pregnancy", "Human Induced Ovulation", "Novak's Gynecology", and "Williams Obstetrics". As a lead researcher, he was awarded the Second Prize of the National Science and Technology Progress nominated by the Ministry of Education, the Second Prize of the Chinese Integrated Traditional and Western Medicine Technology, and the Second Prize of Shanghai Medical Science and Technology.
Expertise: Female infertility and assisted reproduction therapy, gynecological endocrine diseases.
杨健之主任医师
擅长领域:妇科内分泌疾病,不孕症,辅助生殖技术
专家门诊: 周二上午(东院) 周二下午(东院) 周三上午(东院) 周五上午(东院) 周五下午(东院) 特需门诊: 周一上午(西院)
Jianzhi Yang Chief Physician
Expertise: Gynecological endocrine diseases, infertility, assisted reproductive technology
Expert Outpatient Service: Tuesday Morning (East courtyard), Tuesday Afternoon (East courtyard), Wednesday Morning (East courtyard), Friday Morning (East courtyard), Friday Afternoon (East courtyard)
Special Outpatient Service: Monday Morning (West courtyard)
—— 个人简介 ——
主任医师,副教授,妇产科专业博士,同济大学硕士生导师。从事妇产科临床工作31年;投身辅助生殖工作22年。参与江苏省人民医院辅助生殖中心的建立并担任实验室负责人完成江苏省第一例试管婴儿。香港中文大学生理系博士后;爱尔兰皇家外科学院分子医学系博士后。擅长妇科内分泌疾病(青春期,生育期绝经期月经失调,多囊卵巢综合征,子宫内膜异位症)及不孕症的治疗和辅助生殖技术(人工授精及试管婴儿)的应用。对高龄及疑难病人的助孕有一定研究。为上海市科委专家库专家。
Personal Introduction
Chief physician, Associate professor, Doctor in Obstetrics and Gynecology, and master student mentor of Tongji University. She has been practicing in the field of obstetrics and gynecology for 31 years and committed to assisted reproduction work for 22 years. She participated in the establishment of the Assisted Reproduction Center of Jiangsu Provincial People's Hospital and served as the laboratory supervisor to complete the first in-vitro fertilization case in Jiangsu Province. She was a postdoctoral fellow in the Department of Physiology at the Chinese University of Hong Kong and the Department of Molecular Medicine at the Royal College of Surgeons in Ireland. She specializes in gynecological endocrine diseases (adolescence, reproductive period menopause menstrual disorders, polycystic ovary syndrome, endometriosis) and the treatment of infertility and the application of assisted reproductive technology (artificial insemination and in-vitro fertilization). She has certain research on helping elderly and difficult patients to conceive. She is an expert in the expert database of the Shanghai Municipal Science and Technology Commission.
Expertise: Gynecological endocrine diseases, infertility, assisted reproductive technology.
陈智勤主任医师
擅长领域:辅助生育技术(试管婴儿)以及各种不孕不育疑难杂症的诊治
专家门诊: 周一上午(西院) 周一下午(西院) 周二上午(西院) 周三下午(西院) 周五上午(西院) 周五下午(西院) 周六上午(西院) 周六下午(西院) 特需门诊: 周三上午(西院)
Zhiqin Chen Chief Physician
Expertise: Assisted reproductive technology (in vitro fertilization) and the diagnosis and treatment of various difficult and complicated infertility issues
Expert Outpatient Service: Monday morning (West courtyard), Monday afternoon (West courtyard), Tuesday morning (West courtyard), Wednesday afternoon (West courtyard), Friday morning (West courtyard), Friday afternoon (West courtyard), Saturday morning (West courtyard), Saturday afternoon (West courtyard).
Special Outpatient Service: Wednesday morning (West courtyard).
—— 个人简介 ——
主任医师, 西院生殖中心负责人。 香港大学医学院 医学科学硕士 辅助生殖技术专业,师从杨树彪,吴鸿裕教授。上海医学会生殖医学分会委员,上海中医药协会生殖医学分会委员。2015年默克雪兰诺中国生殖医学研究基金获得者;2016年获得中华医学会第十次全国生殖医学学术会议优秀论文奖。2015年获得中国十佳试管婴儿医生(TOP10好大夫评选),2017年荣获上海地区十大生殖医学名医(第一届胡润医生排行榜)。近年在国内外发表论文100余篇,主要从事妇科及不孕症诊疗工作和辅助生殖临床工作。擅长试管婴儿技术及不孕不育疑难杂症的诊治,擅长诊治反复失败的患者, 为患者制定个体化促排卵方案,特别擅长促排卵的调控,使得70%的患者有机会做鲜胚移植,并能一次怀孕,大大提高了诊疗效率以及达活产时间(TTLB),为患者节约了时间成本以及医疗费用。每年诊治来自全国各地的不孕不育患者达2万人次,年完成试管婴儿600余例(取卵周期),每年超过500位患者成功怀孕,具有稳定和相对较高的成功率。
Personal Introduction
Chief Physician and Head of the Reproductive Center, West courtyard. Master of Medical Science, Faculty of Medicine, University of Hong Kong, specializing in Assisted Reproductive Technology, mentored by Professors Shubiao Yang and Hongyu Wu. Member of the Reproductive Medicine Branch of Shanghai Medical Association, Member of the Reproductive Medicine Branch of Shanghai Traditional Chinese Medicine Association. In 2015, he received the Merck Serono China Reproductive Medicine Research Fund; in 2016, he won the excellent paper award at the 10th National Conference on Reproductive Medicine of the Chinese Medical Association. He was named one of China's top ten IVF doctors (TOP10 Good Doctor Selection) in 2015 and one of the top ten reproductive medicine doctors in Shanghai (First Hurun Doctor Ranking) in 2017. In recent years, he has published more than 100 papers at home and abroad, mainly engaged in gynecology and infertility diagnosis and treatment work and assisted reproductive clinical work. He is good at IVF technology and the diagnosis and treatment of difficult and complicated infertility diseases. He is skilled in the treatment of patients who have repeatedly failed, devising individualized ovulation induction programs for patients, especially proficient in ovulation induction regulation, enabling 70% of patients to have the opportunity to have fresh embryo transfer, and can get pregnant once, greatly improving the efficiency of diagnosis and treatment and the time to live birth (TTLB), saving patients' time costs and medical expenses. Every year, he treats nearly 20,000 infertile patients from all over the country and completes more than 600 IVF cases (egg retrievals) each year, helping over 500 patients get pregnant successfully each year with a stable and relatively high success rate.
Expertise: Assisted reproduction technology (IVF) and the diagnosis and treatment of various difficult and complicated infertility diseases.
洪岭副主任医师
擅长领域:不孕不育,试管婴儿,人工授精,生殖内分泌疾病
专家门诊: 周一上午(东院) 周三上午(东院) 周四上午(东院) 周四下午(东院) 周五上午(东院) 周五下午(东院) 特需门诊: 周一下午(东院)
Ling Hong Associate Chief physician
Expertise: Infertility, IVF, Artificial Insemination, Reproductive Endocrine Diseases
Expert Outpatient Service: Monday morning (East courtyard), Wednesday morning (East courtyard), Thursday morning (East courtyard), Thursday afternoon (East courtyard), Friday morning (East courtyard), Friday afternoon (East courtyard)
Special Outpatient Service: Monday afternoon (East courtyard)
医学博士,副主任医师,同济大学医学院大学讲师。中华医学会上海分会生殖医学会会员、上海市中西医结合学会生殖医学分会会员。主要研究方向:不孕症、辅助生殖医学技术、多囊卵巢综合征等,已经在国内外杂志发表中英文学术论文10余篇、医学科普文章20余篇,参加编写、翻译医学专著2部。擅长:不孕不育、试管婴儿、人工授精和月经失调、功血、闭经、多囊卵巢综合征等生殖内分泌疾病的诊治。 参与和主持多项国家自然基金课题、上海市科委、卫计委、同济大学等课题研究。2010年入选院优青人才计划,2011年入选同济大学优青人才计划,2014、2016、2017年院年度考核被评为“优秀”,2017年连续四次获院“季度服务明星”称号。
Personal Introduction
Doctor of Medicine, Associate Chief Physician, Lecturer at Tongji University Medical School. He is a member of the Reproductive Medicine Association of the Shanghai Branch of the Chinese Medical Association, and a member of the Reproductive Medicine Branch of the Shanghai Association of Integrated Traditional Chinese and Western Medicine. His primary research areas are infertility, assisted reproductive medical technology, polycystic ovary syndrome (PCOS), and the like. He has published more than ten Chinese and English academic papers in domestic and foreign journals and over twenty medical popular science articles. He has participated in the writing and translation of two medical monographs. He expertise in the diagnosis and treatment of reproductive endocrine diseases such as infertility, in vitro fertilization, artificial insemination, menstrual disorders, dysfunctional uterine bleeding, amenorrhea, and polycystic ovary syndrome. He has participated in and led several research projects funded by the National Natural Science Foundation, Shanghai Science and Technology Commission, Health and Family Planning Commission, Tongji University, and others. In 2010 and 2011, he was selected for the Young Talents program of our hospital and Tongji University, respectively. He was rated as “excellent” in my institute's annual evaluation for the years 2014, 2016, and 2017, and have been awarded the title of “Quarterly Service Star” four times consecutively in 2017.
Expertise: Infertility, in vitro fertilization, artificial insemination, and reproductive endocrine diseases.
擅长领域:辅助生殖技术助孕(人工授精、试管婴儿),多囊卵巢综合征及卵巢储备功能下降
Fengli Chi Associate Chief Physician
Expertise: Assisted reproductive technology for pregnancy (artificial insemination, in vitro fertilization), Polycystic ovary syndrome and diminished ovarian reserve.
副主任医师,医学博士,毕业于同济大学医学院,曾赴美国内布拉斯加医学中心交流学习。从事辅助生殖技术近10年,擅长不孕症的诊疗,尤其辅助生殖技术助孕(人工授精、试管婴儿),在多囊卵巢综合征及卵巢储备功能下降患者的助孕方面颇有心得。近年来主要研究氧化应激对卵子及胚胎的影响、卵巢早衰等。发表SCI及国内期刊论文10余篇,并参与翻译国外妇产科书籍。
Personal Introduction
Associate Chief Physician, Doctor of Medicine, Lecturer at Tongji University Medical School, graduated from Tongji University, School of Medical, once went to the University of Nebraska Medical Center for exchange studies. She has been engaged in assisted reproductive technology for nearly 10 years, specializing in the diagnosis and treatment of infertility, especially assisted reproductive technology for conception (artificial insemination, in vitro fertilization), with profound insights into conception assistance for patients with polycystic ovary syndrome and diminished ovarian reserve function. In recent years, her main research focus has been on the effects of oxidative stress on eggs and embryos, and premature ovarian failure. She has published more than 10 papers in SCI and domestic journals and participated in the translation of foreign obstetrics and gynecology books.
Expertise: Assisted reproductive technology for conception (artificial insemination, in vitro fertilization), polycystic ovary syndrome and diminished ovarian reserve function."
作为第一责任人参与的科研项目:
1. 上海市自然科学基金,编号:21ZR1450700,《早期胚胎应激反应损害胚胎发育和子代代谢的机制研究》,2021-2024年,20万元,进行中
2. 国家自然科学基金,编号:81671521,《孕酮在诱导精子顶体反应IP3及PKC途径的机制研究及导入激动剂/抑制剂对顶体反应影响的研究》,2017-2020年,57万元(直接经费),已结题,主持
3. 上海市自然科学基金,编号:16ZR1427200,《孕酮诱发的顶体反应在辅助生殖中预测体外受精作用的探索》,2016-2018年,20万元,已结题
4. 上海市科委西医引导项目,编号:17411968000,《GnRH-a在IVF黄体支持中应用价值的RCT研究》,2017-2020年,20万元,已结题
5. 上海市申康临床创新三年行动计划项目,编号:16CR3069B,《一种新设备:胚胎移植保温管对胚胎妊娠移植结局影响的随机对照研究》,2016-2019,30万元,已结题
作为主要PI参与的科研项目:
2017年科技部国家重点研发计划“干细胞及转化研究”重点专项,编号:2017YFA0104600,《人类上皮组织再生机制研究》,项目负责人:左为,同济大学,中央财政经费2668万元,已结题,本人支配的经费100万元
拥有授权专利:
发明专利两项:
1.一种胚胎移植管,专利号:ZL 2016 1 0882047.4
2.一种减胎穿刺针装置,专利号:ZL 2016 1 1169684.3
实用新型专利一项:
一种胚胎移植保温管,专利号:ZL 2016 2 1106680.6
获奖情况:
1. 2022年,上海市科普教育创新奖个人三等奖,李昆明
2. 2021年,上海市杰出专科医师奖,李昆明
3. 2020年,上海市最美科普志愿者,李昆明
4. 2020年,上海市浦东新区最美科普志愿者杰出贡献奖,李昆明
5. 2007年,《补肾益气方治疗肾虚型流产的作用机理研究》,中国中西医结合科技奖二等奖:归绥琪 王海燕 张晓金 胡昌东 李雪莲 李桂玲 邢长英 张剑峰 李昆明 蒋立辉
6. 2004年,《补肾方治疗肾虚型流产对母胎内分泌-免疫网络调控机理研究》,教育部提名国家科学技术进步奖二等奖:归绥琪胡昌东 王海燕 张晓金 许均 李昆明 蒋立辉 徐丛剑 俞而慨 钱来娣 储以微 陆利民 曹
7. 2003年,《补肾益气方治疗肾虚型流产对内分泌-母胎免疫耐受调控机理研究》,上海医学科技奖二等奖:归绥琪 许钧 胡昌东蒋立辉 李昆明 储以微 俞而慨
作为第一责任人参与的科研项目:
1. 上海市自然科学基金,编号:21ZR1450700,《早期胚胎应激反应损害胚胎发育和子代代谢的机制研究》,2021-2024年,20万元,进行中
2. 国家自然科学基金,编号:81671521,《孕酮在诱导精子顶体反应IP3及PKC途径的机制研究及导入激动剂/抑制剂对顶体反应影响的研究》,2017-2020年,57万元(直接经费),已结题,主持
3. 上海市自然科学基金,编号:16ZR1427200,《孕酮诱发的顶体反应在辅助生殖中预测体外受精作用的探索》,2016-2018年,20万元,已结题
4. 上海市科委西医引导项目,编号:17411968000,《GnRH-a在IVF黄体支持中应用价值的RCT研究》,2017-2020年,20万元,已结题
5. 上海市申康临床创新三年行动计划项目,编号:16CR3069B,《一种新设备:胚胎移植保温管对胚胎妊娠移植结局影响的随机对照研究》,2016-2019,30万元,已结题
作为主要PI参与的科研项目:
2017年科技部国家重点研发计划“干细胞及转化研究”重点专项,编号:2017YFA0104600,《人类上皮组织再生机制研究》,项目负责人:左为,同济大学,中央财政经费2668万元,已结题,本人支配的经费100万元
参与编译著作:
1. 《卵巢过度刺激综合征的诊断与治疗》,2018年,复旦大学出版社
2. 《高危妊娠》,2008年,人民卫生出版社
3. 《人类诱发排卵》,2007年,复旦大学出版社
4.《Novak妇科学》,2006年,人民卫生出版社
5.《Williams产科学》,2005年,山东科学技术出版社
近年发表文章:
1. Zhou H, Xu J, Hong L, Jia Y, Burk LV, Chi F, Zhao M, Guan X, Liu D, Yin X, Zhang Y, Teng X, Duan L, Li K. The alterations of circulating mucosal-associated invariant T cells in polycystic ovary syndrome Front Endocrinol (Lausanne). 2022 Nov 28; 13:1038184. (IF6.055)
2. Xu J, Zhou H, Zhou T, Guo Y, Liang S, Jia Y, Li K, Teng X. The impact of different endometrial preparation protocols on obstetric and neonatal complications in frozen-thawed embryo transfer: a retrospective cohort study of 3,458 singleton deliveries Reprod Biol Endocrinol. 2022 Sep 22;20(1):141. (IF4.982)
3. Guan X, Liu D, Zhou H, Dai C, Wang T, Fang Y, Jia Y, Li K. Melatonin improves pregnancy outcomes in adenomyosis mice by restoring endometrial receptivity via NF-κB/apoptosis signaling. Ann Transl Med. 2022 Dec;10(24):1317. (IF3.616)
4. Jia,Yanping , Liu,Wenqiang, Bai Dandan,Zhang Yalin ,Li Yanhe , Yingdong, Jiqing Yin,Chen Qiaoyu ,Ye Mingming ,Zhao Yanhong,Kou Xiaochen ,Wang Hong ,Gao Shaorong , Li Kunming* , Chen Miaoxin ;Melatonin supplementation in the culture medium rescues impaired glucose metabolism in IVF mice offspring. Journal of pineal research, 2022;72(1):e12778.(IF13.00)
5. Mei Zhao, Fengli Chi, Tingyu Zhang, Xiaoming Teng, Kunming Li. Human menstrual blood-derived mesenchymal stem cells regulation of the EGF/Ras p21 pathway as a potential therapeutic target for thin endometrium. Annals of Translational Medicine, 2021;9(18):1476. (IF3.616)
6.Yingya Li, Tingyu Zhang, Yanping Jia, Hao Yang, Wenqiang Liu, Jiaping Pan, Yu Wang, Shanshan Liang, Kunming Li.Supplementation of cryoprotectant with Pinus massoniana bark extract improves human sp erm vitality and fertility potential .Andrology, 2021,9(2): 700-719. (IF:2.86)
7.Ying-Ya Li, Yan-Ping Jia, Li-Yan Duan, Kun-Ming Li. Participation of inostitol 1,4,5-trisphosphategated calcium channel in the zona pellucida-and progesterone-induced acrosome reaction and calcium influx in human spermatozoa. Asian Journal of Andrology, 2020;22(2):192-199. (IF:3.259)
8.Yanping Jia, Kunming Li, Caihong Zheng, Yuanyuan Tang, Dandan Bai, Jiqing Yin, Fengli Chi, Yalin Zhang, Yanhe Li, Zhifen Tu, Yu Wang, Jiaping Pan, Shanshan Liang, Yi Guo, Jingling Ruan, Pengcheng Kong, Bi Wu, Ye Hu, Hong Wang, Wenqiang Liu, Xiaoming Teng, Shaorong Gao. Identification and rescue of a novel TUBB8 mutation that causes the first mitotic division defects and infertility. Journal of Assisted Reproduction and Genetics, 2020;37: 2713–2722. (IF:3.412)
9.Ting Jiang, Qing Yuan, Qin Zhou, Yiping Zhu, Siji Lv, Yanling Cao, Qin Wang, Kunming Li and Dong Zhao. Do endometrial lesions require removal? A retrospective study. BMC Women’s Health, 2019, 19: 61.(IF:1.806)
10. Li Y Y , Duan L Y , Chi F L , Li K M . Transvaginal Reduction of a Heterotopic Cornual Pregnancy with Conservation of Intrauterine Pregnancy. Chinese Medical Sciences Journal, 2019, 34(3):221-225.
11.Wenqiang Liu,Kunming Li,Dandan Bai,etc.Dosage effects of ZP2 and ZP3 heterozygous mutations cause human infertility. Human genetics, 2017, Volume 136, Issue 8, pp 975–985.(IF:4.637)
12. Liyan Duan, Shihua Bao, Kunming Li, Xiaoming Teng, Ling Hong, Xiaoyu Zhao. Comparing the Long-Acting and Short-Acting Forms of Gonadotropin-Releasing Hormone Agonists in the Long Protocol of IVF/ICSI Cycles: A Retrospective Study. The Journal of Obstetrics and Gynaecology Research,2017. Vol. 43, No. 6: 1037–1042, June. (IF:1.086)
13.段立艳,李昆明,戚洁等. GnRH-a长效降调节和短效降调节长方案在体外受精周期中临床应用价值的比较. 《中国妇幼保健》,2016,14:2908-2911.
14.朱一萍,韩凌斐,赵栋,孙静,李昆明.宫腔镜检查对反复胚胎种植失败者再次种植妊娠率的影响.《实用妇产科杂志》,2016,7:507-510.
15. 陈莹,李昆明. 精子顶体反应及其相关调控因子研究进展. 《中国妇幼保健》,2016,9:2011-2013.
16.朱一萍,段立艳,李昆明. 宫腔镜检查术在反复胚胎种植失败患者中的应用价值. 《中国基层医药》,2015,22(5):693-695.
17. T. Jiang, Y. Qin, T. Ye, Y. Wang, J. Pan, Y. Zhu, L. Duan, K. Li,* and X. Teng. Correlation analysis of the progesterone-induced sperm acrosome reaction rate and the fertilization rate in vitro. Andrologia, 2015, Oct, 47(8):945–950. (IF:1.458)
18. Cheuk-Lun Lee, Kunming Li (co-first author), Kevin K. W. Lam, Ernest H. Y. Ng, Hannu Koistinen, Markku Seppälä, William S. B. Yeung and Philip C. N. Chiu. Glycodelin-A treatment reduces the adverse effect of macrophage co-culture on human sperm motility. Molecular Reproduction and Development, 2014, June, 81(6):482–483.(IF:3.11)
19.彭垒,邵敬於,李昆明. 孕激素在辅助生殖技术中的应用. 世界临床药物,2014,11:646-649.
20. Li K, Wang Y, Pan J, Wu H, Liang S, Chen Z, Li Q, Teng X. Proximal occlusion of salpinx by placing microcoil under X-ray brought a successful uterine pregnancy for a repeated ectopic pregnancy patient.Arch Gynecol Obstet. 2013 Oct; 288(4):945-7. (IF:1.33)
21. 潘家坪,滕晓明,王羽,李昆明(通讯作者). 高龄对外受精-胚胎移植结果的影响,中国生育健康杂志,2013年第4期 332-333页.
22. 段立艳,李昆明. 脱氢表雄酮在卵巢低反应人群中的应用,中国妇幼保健,2014,29(11):1802-1804.
23.段立艳,李昆明. 温和刺激方案在体外受精-胚胎移植中的应用进展, 中国基层医药, 2014, 12: 1886-1888.
24.姜婷,李昆明. 阴道超声引导穿刺取卵术的并发症及处理,医学综述,2014,20(7):1274-1277.
拥有授权专利:
发明专利两项:
1.一种胚胎移植管,专利号:ZL 2016 1 0882047.4
2.一种减胎穿刺针装置,专利号:ZL 2016 1 1169684.3
实用新型专利一项:
一种胚胎移植保温管,专利号:ZL 2016 2 1106680.6
获奖情况:
1. 2022年,上海市科普教育创新奖个人三等奖,李昆明
2. 2021年,上海市杰出专科医师奖,李昆明
3. 2020年,上海市最美科普志愿者,李昆明
4. 2020年,上海市浦东新区最美科普志愿者杰出贡献奖,李昆明
5. 2007年,《补肾益气方治疗肾虚型流产的作用机理研究》,中国中西医结合科技奖二等奖:归绥琪 王海燕 张晓金 胡昌东 李雪莲 李桂玲 邢长英 张剑峰 李昆明 蒋立辉
6. 2004年,《补肾方治疗肾虚型流产对母胎内分泌-免疫网络调控机理研究》,教育部提名国家科学技术进步奖二等奖:归绥琪胡昌东 王海燕 张晓金 许均 李昆明 蒋立辉 徐丛剑 俞而慨 钱来娣 储以微 陆利民 曹
7. 2003年,《补肾益气方治疗肾虚型流产对内分泌-母胎免疫耐受调控机理研究》,上海医学科技奖二等奖:归绥琪 许钧 胡昌东蒋立辉 李昆明 储以微 俞而慨
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