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超声检查对不明原因不孕症中黄素化未破裂卵泡综合征的评估

Ultrasonographic assessment of luteinized unruptured follicle syndrome in unexplained infertility.

作者信息

Daly D C, Soto-Albors C, Walters C, Ying Y K, Riddick D H

出版信息

Fertil Steril. 1985 Jan;43(1):62-5.

PMID:3917408
Abstract

Ultrasound can be used to monitor the growth and rupture of the dominant follicle. Thirty-three patients with unexplained infertility underwent serial sonography (mean, 3.2 scans/cycle) for luteinized unruptured follicle syndrome (LUFS). The incidence of LUFS was 9% (three patients) in the initial scan cycle. Three patients (9%) demonstrated rupture of a follicle significantly smaller than the mean (22.1 mm) (z less than 0.01) in the initial scan cycle. At standard radiology fees ($7000 +/ diagnosed LUFS) the cost/benefit ratio of this method of diagnosis will be controversial. It is suggested that scanning at reduced fees in the gynecologist's office, particularly in conjunction with postcoital tests, would decrease cost and increase the potential benefit.

摘要

超声可用于监测优势卵泡的生长和破裂情况。33例不明原因不孕症患者因黄素化未破裂卵泡综合征(LUFS)接受了系列超声检查(平均每个周期3.2次扫描)。在初始扫描周期中,LUFS的发生率为9%(3例患者)。3例患者(9%)在初始扫描周期中卵泡破裂时其大小显著小于平均值(22.1毫米)(z小于0.01)。按照标准放射学检查费用(确诊LUFS为7000美元及以上),这种诊断方法的成本效益比存在争议。建议在妇科医生办公室以较低费用进行扫描,特别是结合性交后试验,这样会降低成本并增加潜在益处。

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