Mendelson E B, Friedman H, Neiman H L, Calenoff L, Vogelzang R L, Cohen M R
AJR Am J Roentgenol. 1985 Feb;144(2):415-20. doi: 10.2214/ajr.144.2.415.
In a retrospective review of 211 female infertility patients receiving ovulation induction agents, the role of sonography in infertility management is defined. Sonography is used to determine imminence of ovulation for timing of insemination and in vitro fertilization. It is also used to diagnose ovarian hyperstimulation syndrome. To identify characteristics of the ovarian follicles of women able to conceive that might differentiate them from those unable to become pregnant, patients were assigned to "pregnant" (30.8%) or "nonpregnant" subgroups. In 259 sonographically monitored cycles reviewed, follicular size and configuration were not different for the two groups. The cumulus oophorus was seen in 28% of pregnant patients (8/28) and in only two nonpregnant patients. Low-level echoes were seen in the mature follicles of 11 patients but not in the large follicles of nonpregnant patients. Low-level intrafollicular echogenicity may be a prognostic indicator of fertility and may represent a periovulatory state, optimal, in the appropriate clinical setting, for artificial insemination or in vitro fertilization.
在一项对211名接受排卵诱导剂治疗的女性不孕症患者的回顾性研究中，明确了超声检查在不孕症管理中的作用。超声检查用于确定排卵时机，以安排授精和体外受精的时间。它还用于诊断卵巢过度刺激综合征。为了确定能够受孕的女性卵巢卵泡的特征，以便将她们与无法怀孕的女性区分开来，患者被分为“怀孕”（30.8%）或“未怀孕”亚组。在回顾的259个超声监测周期中，两组的卵泡大小和形态并无差异。28%的怀孕患者（8/28）可见卵丘，而未怀孕患者中只有两例可见。11名患者的成熟卵泡中可见低水平回声，而未怀孕患者的大卵泡中未见。卵泡内低水平回声可能是生育能力的预后指标，在适当的临床环境中，可能代表人工授精或体外受精的最佳排卵期状态。
