Porter Misty Blanchette
Department of Obstetrics and Gynecology, Division of Reproductive Medicine, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA. Misty.B.
Semin Reprod Med. 2008 May;26(3):266-76. doi: 10.1055/s-2008-1076145.
Transvaginal ultrasound-guided oocyte retrieval is the gold standard for in vitro fertilization (IVF) treatment. Despite its relative safety, oocyte retrieval is associated with risk to the adjacent pelvic organs, bleeding, and pelvic infection. The embryo transfer (ET) procedure is considered a crucial step in an IVF cycle. The success of the ET is dependent upon multiple factors including embryo quality, proper endometrial receptivity, and the technique by which the embryos are transferred. Optimizing the technique of ET would therefore provide the best chance for pregnancy. No standard evidence-based protocol exists, but ET with ultrasound guidance has been shown to significantly increase the chance of embryo implantation, an ongoing pregnancy, and a live birth and to improve the ease of transfer. Identifying appropriate ultrasound-guided simulation training techniques in ET would ensure adequate fellowship training without affecting the outcome of assisted reproductive technology cycles.
经阴道超声引导下取卵是体外受精（IVF）治疗的金标准。尽管其相对安全，但取卵仍与邻近盆腔器官的风险、出血和盆腔感染相关。胚胎移植（ET）程序被认为是IVF周期中的关键步骤。ET的成功取决于多个因素，包括胚胎质量、适当的子宫内膜容受性以及胚胎移植的技术。因此，优化ET技术将为妊娠提供最佳机会。目前尚无基于标准证据的方案，但超声引导下的ET已被证明可显著增加胚胎着床、持续妊娠和活产的机会，并提高移植的便利性。确定ET中合适的超声引导模拟训练技术将确保进行充分的专科培训，同时不影响辅助生殖技术周期的结果。
