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监测辅助生殖的卵巢刺激与患者自扫描使用家用阴道超声设备:一个单一中心的干预性,前性研究.

Yoel Shufaro1,2, Mor Cohen1, Avital Wertheimer1,2

  • 1Infertility and in vitro fertilization (IVF) Unit, Beilinson Hospital, Rabin Medical Center, 39 Jabotinsky Street, Petah Tikva, 4941492, Israel.

Journal of medical Internet research
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概括

使用阴道超声波设备 (FC) 的家庭自扫描可靠地监测卵巢刺激,与临床 (IC) 超声波图有很强的相关性. 这项技术为生育治疗提供了可行的替代方案.

关键词:
毛囊监测 毛囊监测 毛囊监测家庭声学声谱 在家声学声谱在体外受精 in-vitro受精手机电话 手机电话手机电话自我阴道超声波扫描

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科学领域:

  • 生殖内分泌学和不孕不育问题
  • 医学成像和诊断 医学成像和诊断
  • 超声波技术的应用 超声技术的应用

背景情况:

  • 卵巢卵泡和子宫内膜厚度的监测对于辅助生殖患者和诊所来说至关重要,但很繁重.
  • 使用超声波设备的家庭自扫描提供了一个潜在的解决方案,以减少患者和诊所的负担.

研究的目的:

  • 评估使用智能手机设备 (FC) 的阴道自扫描与临床 (IC) 超声波相比的可靠性.
  • 评估在卵巢刺激期间进行家庭监测的可行性,以进行体外受精或生育保护.

主要方法:

  • 一项前性干预研究,涉及44名接受IVF卵巢刺激的患者.
  • 患者使用家庭超声波设备进行了阴道自扫描,使用远程超声波指导.
  • 在家庭 (FC) 和临床 (IC) 扫描之间比较图像质量,子宫内膜厚度和卵泡测量.

主要成果:

  • 家庭扫描显示了合适的图像质量和密切匹配的IC发现,用于 antral毛囊数量 (ρ=0.86),刺激的毛囊 (ρ=0.84),和领先的毛囊识别 (87%).
  • 在吸入卵细胞数 (ρ=0.82),成熟卵细胞比率 (ρ=0.88) 和子宫内膜厚度 (ρ=0.54) 之间观察到FC和IC之间的高度相关性.
  • 82%的患者和91%的超声波仪表人员对未来使用家庭超声波设备表示满意和兴趣.

结论:

  • 家庭超声波设备 (FC) 是可行的,可比的,与监测毛囊发育的标准临床扫描 (IC) 有很好的相关性.
  • 这项技术为卵巢刺激期间的远程家庭监测提供了基础,可能适用于较温和的刺激和自然周期.