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在临床实践中,应用超声测量卵巢滤泡以监测卵巢活动状况是一项已确立的技术。Kratochwil首先用超声技术观察卵巢的结构,Hackeler和Robinson描述了卵巢周期中滤泡生长型。尽管广泛应用超声追踪周期,可是关于正常周期的特征仍然有很大分歧意见。Zegers Hochschild在13个妊娠周期中检查了滤泡生长型与黄体生成素(LH)高峰的关系,这可能是建立正常的可靠标准的唯一途径,也是试图描写周期中异常状态的必要条件。本研究的目的是评价Zegers-Hochschild的观察结果,说明滤泡变化与内分泌表现的关系和对自然与诱发受孕周期的比较。作者对24～34岁的20名妇女的受孕周期进行卵巢超声检查和内分泌化验追踪检查,这20人都在不孕门诊接受治疗,其中12人为自然周期,8人接受诱发排卵治疗,追踪检查从滤泡中期到黄体中期,大约从月经第7天开始。8个诱发周期中,2人给
In clinical practice, the application of ultrasound to measure ovarian follicles to monitor ovarian activity is an established technique. Kratochwil first observed the structure of the ovary using ultrasound and Hackeler and Robinson described follicular growth in the ovary. Despite the widespread use of ultrasound tracking cycles, there are still many divergent opinions regarding the characteristics of the normal cycle. Zegers Hochschild examined the relationship between follicular growth pattern and luteinizing hormone (LH) peak during 13 gestational cycles, which may be the only way to establish a normal, reliable standard and a prerequisite for trying to characterize the abnormality in the cycle. The purpose of this study was to evaluate the observations of Zegers-Hochschild, to illustrate the relationship between follicular changes and endocrine manifestations and to the comparison of nature with induced cycle of conception. The author of 20 women aged 24 to 34 convalescent cycles of ovarian ultrasound and endocrine test follow-up examination, these 20 were treated in infertility clinics, of which 12 were natural cycles, 8 were induced ovulation induction, follow-up examination from Middle follicles to the mid-luteal phase, about from the first 7 days of menstruation. Of the eight induction cycles, two gave