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体外受精患者中卵丘的超声检测

Ultrasonic detection of a cumulus oophorus in patients undergoing in vitro fertilization.

作者信息

Cacciatore B, Liukkonen S, Koskimies A I, Ylöstalo P

出版信息

J In Vitro Fert Embryo Transf. 1985 Dec;2(4):224-8. doi: 10.1007/BF01201801.

DOI:10.1007/BF01201801
PMID:3912449
Abstract

Ultrasonic studies for the detection of a cumulus oophorus were carried out in 57 women taking part in an in vitro fertilization (IVF) program. When intrafollicular echoes were dissociated, clearly prominent from the follicular wall, they were considered to be a sure cumulus mass, and when they were only slightly prominent, they were suspected to be a nondissociated cumulus. All patients had at least one ultrasonically visible cumulus. A cumulus was seen in 50% of the follicles and 70% of them were dissociated. Cumuluses were also seen in follicles less than 18 mm in diameter but a significantly higher number of them were not clearly dissociated. The number of observed dissociated cumuluses correlated significantly with the number of recovered mature oocytes. However, in 18 patients there were more mature oocytes retrieved than cumuluses identified by ultrasound. When a cumulus mass is seen, it can be taken as evidence of a sign of maturity of that particular follicle and oocyte. However, mature oocytes are also found where no cumulus was seen by ultrasound. Lack of visible cumulus has little significance in predicting the maturity of the oocyte.

摘要

对57名参与体外受精(IVF)项目的女性进行了超声检查以检测卵丘。当卵泡内回声与卵泡壁分离且明显突出时,它们被认为是确定的卵丘团块;当它们只是略微突出时,则怀疑是未分离的卵丘。所有患者至少有一个超声可见的卵丘。在50%的卵泡中可见卵丘,其中70%是分离的。在直径小于18毫米的卵泡中也可见卵丘,但其中未明显分离的数量明显更多。观察到的分离卵丘数量与回收的成熟卵母细胞数量显著相关。然而,在18名患者中,回收的成熟卵母细胞比超声识别出的卵丘更多。当看到卵丘团块时,它可被视为该特定卵泡和卵母细胞成熟迹象的证据。然而,在超声未见到卵丘的情况下也发现了成熟卵母细胞。可见卵丘的缺失对预测卵母细胞的成熟意义不大。

相似文献

1
Ultrasonic detection of a cumulus oophorus in patients undergoing in vitro fertilization.体外受精患者中卵丘的超声检测
J In Vitro Fert Embryo Transf. 1985 Dec;2(4):224-8. doi: 10.1007/BF01201801.
2
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Ovum pick up in swine: the influence of aspiration vacuum pressure on oocyte recovery from preovulatory follicles.猪的采卵:抽吸真空压力对从排卵前卵泡回收卵母细胞的影响。
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本文引用的文献

1
Monitoring ovarian follicular development with real-time ultrasound.通过实时超声监测卵泡发育。
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Ultrasonic measurement of ovarian follicles, ovarian and uterine size during induction of ovulation with human gonadotrophins.在使用人促性腺激素诱导排卵过程中对卵巢卵泡、卵巢及子宫大小进行超声测量。
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Ultrasonic observation of the mechanism of human ovulation.人类排卵机制的超声观察
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Evaluation of diagnostic ultrasound as a parameter of follicular development in an in vitro fertilization program.体外受精程序中诊断超声作为卵泡发育参数的评估
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Morphological and functional relations of Graafian follicle growth to ovulation in women using ultrasonic, laparoscopic and biochemical measurements.运用超声、腹腔镜及生化检测手段对女性格拉夫卵泡生长与排卵之间的形态学和功能关系进行研究。
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Asynchrony between human cumulus-corona cell complex and oocyte maturation after human menopausal gonadotropin treatment for in vitro fertilization.
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Maturation and fertilization of morphologically immature human oocytes in a program of in vitro fertilization.在体外受精程序中形态学上未成熟的人类卵母细胞的成熟与受精
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Human menopausal gonadotropin/human chorionic gonadotropin follicular maturation for oocyte aspiration: phase II, 1981.人绝经期促性腺激素/人绒毛膜促性腺激素用于卵泡成熟以进行卵母细胞抽吸:1981年,第二阶段
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Ultrasonic study of follicular maturation, ovulation and development of corpus luteum during normal menstrual cycles.正常月经周期中卵泡成熟、排卵及黄体发育的超声研究。
Acta Obstet Gynecol Scand. 1985;64(1):15-9. doi: 10.3109/00016348509154681.
10
Ultrasonic preovulatory follicular appearances as an indicator of the outcome of an in vitro fertilization cycle.超声监测排卵前卵泡表现作为体外受精周期结局的指标。
Fertil Steril. 1985 Apr;43(4):560-4. doi: 10.1016/s0015-0282(16)48497-9.