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体外受精程序中诊断超声作为卵泡发育参数的评估

Evaluation of diagnostic ultrasound as a parameter of follicular development in an in vitro fertilization program.

作者信息

Buttery B, Trounson A, McMaster R, Wood C

出版信息

Fertil Steril. 1983 Apr;39(4):458-63. doi: 10.1016/s0015-0282(16)46931-1.

DOI:10.1016/s0015-0282(16)46931-1
PMID:6832401
Abstract

The ultrasound results in 141 patients through 203 cycles stimulated with clomiphene citrate prior to oocyte collection and in vitro fertilization are analyzed. A wide range in the size and number of follicles was seen. Bivariate analysis of the size of the largest follicle, compared with the time of the spontaneous luteinizing hormone (LH) surge, has shown a highly significant correlation (r = 0.720; P less than 0.001) between these two variables, but the accuracy of prediction of the LH surge in a specific cycle, as expressed by the standard error of estimate, was 34.3 hours. As an isolated observation, ultrasound results are no better than the menstrual history in predicting the time of the LH surge in stimulated cycles. Multiparameter assessment of follicular development is required.

摘要

分析了141例患者在卵母细胞采集和体外受精前经枸橼酸氯米芬刺激的203个周期的超声检查结果。观察到卵泡的大小和数量范围很广。对最大卵泡大小与自发性促黄体生成素(LH)峰出现时间进行双变量分析,结果显示这两个变量之间存在高度显著的相关性(r = 0.720;P < 0.001),但以估计标准误差表示的特定周期中LH峰预测的准确性为34.3小时。作为一项独立观察,在预测刺激周期中LH峰出现时间方面,超声检查结果并不比月经史更好。需要对卵泡发育进行多参数评估。

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1
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引用本文的文献

1
The use of ovarian ultrasonography in monitoring ovulation induction.卵巢超声检查在监测促排卵中的应用。
J In Vitro Fert Embryo Transf. 1984 Dec;1(4):226-32. doi: 10.1007/BF01131621.
2
In vitro fertilization results, 1979-1982, at Monash University, Queen Victoria, and Epworth Medical Centres.1979年至1982年在莫纳什大学、维多利亚女王医院和埃普沃思医疗中心的体外受精结果。
J In Vitro Fert Embryo Transf. 1984 Mar;1(1):42-7. doi: 10.1007/BF01129619.
3
Inherent sources of ultrasound variability in relation to follicular measurements.与卵泡测量相关的超声变异性的内在来源。
J In Vitro Fert Embryo Transf. 1984 Dec;1(4):221-5. doi: 10.1007/BF01131620.
4
Factors influencing the success of in vitro fertilization for alleviating human infertility.影响体外受精治疗人类不孕症成功率的因素。
J In Vitro Fert Embryo Transf. 1984 Mar;1(1):3-23. doi: 10.1007/BF01129615.
5
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.
6
Clinical experience in an in vitro fertilization and embryo replacement program of a new method for analysis of urinary estrogens.体外受精及胚胎移植项目中一种分析尿雌激素新方法的临床经验。
J Endocrinol Invest. 1987 Feb;10(1):21-5. doi: 10.1007/BF03347143.
7
Comparison of the results of vaginal and abdominal follicle scans.阴道和腹部卵泡扫描结果的比较。
Arch Gynecol Obstet. 1987;241(3):171-6. doi: 10.1007/BF00931314.
8
Monitoring gonadotropin-stimulated cycles for in vitro fertilization and embryo transfer.监测用于体外受精和胚胎移植的促性腺激素刺激周期。
J In Vitro Fert Embryo Transf. 1988 Aug;5(4):230-3. doi: 10.1007/BF01131127.
9
Correlation of follicular diameter with oocyte recovery and maturity at the time of transvaginal follicular aspiration.经阴道卵泡抽吸时卵泡直径与卵母细胞回收及成熟度的相关性。
J In Vitro Fert Embryo Transf. 1989 Apr;6(2):73-5. doi: 10.1007/BF01130729.