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经尿道超声引导下取卵

Perurethral ultrasound-guided ovum pickup.

作者信息

Wisanto A, Braeckmans P, Camus M, Devroey P, Khan I, Staessen C, Smitz J, Van Waesberghe L, Van Steirteghem A C

机构信息

Centre for Reproductive Medicine, Academic Hospital Vrije, Universiteit Brussel, Belgium.

出版信息

J In Vitro Fert Embryo Transf. 1988 Apr;5(2):107-11. doi: 10.1007/BF01130668.

DOI:10.1007/BF01130668
PMID:3045230
Abstract

Either a percutaneous-transvesical, a transvaginal, or a perurethral-transvesical approach can be used for oocyte recovery under ultrasound guidance in an in vitro fertilization and embryo transfer program. After having experienced these three different approaches in our program, we preferentially used the perurethral-transvesical approach as our routine technique for oocyte recovery under ultrasound guidance. We feel that this method is easier to perform and also carries less risk for contamination. From January to December 1986, 186 oocyte retrievals under ultrasound guidance were performed. In 7 cases no oocytes were found despite normal ovarian stimulation. A total of 767 oocytes was collected; the fertilization rate was 71.8%. Forty pregnancies were achieved (21.5% per attempt or 27.7% per embryo replacement). Except for transient hematuria, no complications were observed.

摘要

在体外受精和胚胎移植程序中,可采用经皮经膀胱、经阴道或经尿道经膀胱途径在超声引导下进行卵母细胞回收。在我们的程序中经历了这三种不同的方法后,我们优先使用经尿道经膀胱途径作为超声引导下卵母细胞回收的常规技术。我们认为这种方法更容易实施,且污染风险更小。1986年1月至12月,在超声引导下进行了186次卵母细胞采集。7例患者尽管卵巢刺激正常,但未发现卵母细胞。共采集到767个卵母细胞;受精率为71.8%。成功妊娠40例(每次尝试成功率为21.5%,或每次胚胎移植成功率为27.7%)。除了短暂性血尿外,未观察到并发症。

相似文献

1
Perurethral ultrasound-guided ovum pickup.经尿道超声引导下取卵
J In Vitro Fert Embryo Transf. 1988 Apr;5(2):107-11. doi: 10.1007/BF01130668.
2
Oocyte retrieval in an in vitro fertilization-embryo transfer program: comparison of four methods.体外受精 - 胚胎移植程序中的卵母细胞采集:四种方法的比较。
Radiology. 1989 Oct;173(1):99-102. doi: 10.1148/radiology.173.1.2528782.
3
Pregnancies following in vitro fertilization and ultrasound-directed surgical embryo transfer by perurethral and transvaginal techniques.通过经尿道和经阴道技术进行体外受精和超声引导下手术胚胎移植后的妊娠情况。
Fertil Steril. 1987 Oct;48(4):691-3. doi: 10.1016/s0015-0282(16)59489-8.
4
Ultrasound control of clomiphene/human chorionic gonadotropin stimulated cycles for oocyte recovery and in vitro fertilization.
Fertil Steril. 1981 Sep;36(3):316-9. doi: 10.1016/s0015-0282(16)45731-6.
5
An experience of laparoscopic and transvesical oocyte retrieval in an in vitro fertilization program.体外受精程序中腹腔镜和经膀胱取卵的经验。
Fertil Steril. 1986 Jan;45(1):88-92. doi: 10.1016/s0015-0282(16)49102-8.
6
[A transvaginal sonographic needle-guided method of ovum pickup in a fertilization in vitro/embryo transfer program].[体外受精/胚胎移植程序中经阴道超声引导取卵的方法]
Zhonghua Fu Chan Ke Za Zhi. 1990 May;25(3):146-8, 188.
7
[Echo-guided extraction of oocytes by perurethral-transvesical route in a program for in vitro fertilization and embryo transfer].[经尿道-经膀胱途径超声引导下取卵用于体外受精与胚胎移植方案]
Ann Ostet Ginecol Med Perinat. 1987 Jul-Aug;108(4):256-63.
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Two years' experience of ultrasound-directed oocyte retrieval.超声引导下取卵两年经验
Fertil Steril. 1987 Sep;48(3):454-8. doi: 10.1016/s0015-0282(16)59417-5.
9
Transvaginal ultrasound-guided embryo transfer in IVF.体外受精中经阴道超声引导下的胚胎移植
J Gynecol Obstet Hum Reprod. 2017 May;46(5):411-416. doi: 10.1016/j.jogoh.2017.02.015. Epub 2017 Apr 17.
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The perurethral technique for ultrasound directed follicle aspiration in an in-vitro fertilization and embryo transfer programme: a report of 636 patient cycles.体外受精与胚胎移植项目中经尿道超声引导下卵泡抽吸技术:636个患者周期的报告
Br J Obstet Gynaecol. 1990 Jun;97(6):499-505. doi: 10.1111/j.1471-0528.1990.tb02519.x.

引用本文的文献

1
An 18-month survey of infertility treatment by in vitro fertilization, gamete and zygote intrafallopian transfer, and replacement of frozen-thawed embryos.一项为期18个月的关于体外受精、配子和受精卵输卵管内移植以及冻融胚胎置换的不孕症治疗调查。
J In Vitro Fert Embryo Transf. 1989 Feb;6(1):22-9. doi: 10.1007/BF01134577.

本文引用的文献

1
Ultrasonically guided percutaneous aspiration of human follicles under local anesthesia: a new method of collecting oocytes for in vitro fertilization.局部麻醉下超声引导经皮穿刺抽吸人卵泡:一种用于体外受精的采集卵母细胞的新方法。
Fertil Steril. 1982 Dec;38(6):673-7. doi: 10.1016/s0015-0282(16)46692-6.
2
Collection of human oocytes by the use of sonography.使用超声检查收集人类卵母细胞。
Fertil Steril. 1983 May;39(5):603-8. doi: 10.1016/s0015-0282(16)47053-6.
3
EGG retrieval for in vitro fertilisation by sonographically controlled vaginal culdocentesis.
通过超声控制的阴道后穹窿穿刺术获取用于体外受精的卵子。
Lancet. 1983 Aug 27;2(8348):508-9. doi: 10.1016/s0140-6736(83)90530-5.
4
Transvaginal sonographically controlled follicle puncture for oocyte retrieval.
Fertil Steril. 1985 Nov;44(5):656-62. doi: 10.1016/s0015-0282(16)48983-1.
5
Transvaginal sonographically controlled ovarian puncture for oocyte retrieval for in vitro fertilization.经阴道超声引导下卵巢穿刺取卵用于体外受精。
J In Vitro Fert Embryo Transf. 1986 Oct;3(5):309-13. doi: 10.1007/BF01133391.
6
Trans-vaginal oocyte retrieval using a trans-vaginal sector scan probe combined with an automated puncture device.使用经阴道扇形扫描探头结合自动穿刺装置进行经阴道取卵。
Hum Reprod. 1986 Jan;1(1):21-4. doi: 10.1093/oxfordjournals.humrep.a136335.
7
Various techniques for oocyte recovery in an in vitro fertilization and embryo transfer program.
J In Vitro Fert Embryo Transf. 1985 Jun;2(2):99-104. doi: 10.1007/BF01139341.
8
Success of in vitro fertilization and embryo transfer in relation to the causes of infertility.体外受精与胚胎移植的成功率与不孕原因的关系。
Acta Eur Fertil. 1985 Jul-Aug;16(4):281-7.
9
Oocyte retrieval for in-vitro fertilisation by ultrasonically guided needle aspiration via the urethra.经尿道超声引导针吸术获取卵母细胞用于体外受精。
Lancet. 1985 May 11;1(8437):1076-7. doi: 10.1016/s0140-6736(85)92373-6.