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卵巢储备功能检测:检测方法、应用及局限性综述

Ovarian Reserve Testing: A Review of the Options, Their Applications, and Their Limitations.

作者信息

Ulrich Nicole D, Marsh Erica E

机构信息

Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of Michigan, Ann Arbor, Michigan.

出版信息

Clin Obstet Gynecol. 2019 Jun;62(2):228-237. doi: 10.1097/GRF.0000000000000445.

Abstract

Ovarian reserve refers to the number of oocytes remaining in a woman's ovaries that have the potential to yield a pregnancy. This is a concept based on the fact that the number of oocytes within a woman's ovaries and her ability to achieve pregnancy decline over time. There are 2 overlapping but distinct interpretations and utilizations of ovarian reserve testing (ORT)-biological and clinical. Given the increasing incorporation of ORT into clinical practice, care must be taken to ensure that patients and providers understand the limitations affecting ORT interpretation. Here, we will review commonly used tests of ovarian reserve and offer guidance on interpretation (biology) and application (clinical practice) of results.

摘要

卵巢储备是指女性卵巢中剩余的有可能导致怀孕的卵母细胞数量。这一概念基于女性卵巢内卵母细胞数量及其怀孕能力会随时间下降这一事实。卵巢储备检测(ORT)有两种相互重叠但又不同的解释和用途——生物学方面和临床方面。鉴于ORT越来越多地被纳入临床实践,必须注意确保患者和医疗服务提供者了解影响ORT解读的局限性。在此,我们将回顾常用的卵巢储备检测方法,并就检测结果的解读(生物学方面)和应用(临床实践)提供指导。

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