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基础血清FSH和EZ能反映卵巢储备功能及预测促排卵的效果,作者观察FSH/E。是否同时能预测胚胎染色体异常。而对纽约两家医院83例因过期流产或自然流产的胚胎组织进行了核型分析。其中体外授精胚胎移植22例,配子输卵管内移植4例,诱导排卵及人工授精15例,冷冻胚胎移植5例,合子输卵管内移植2例及自然受孕14例。超促排卵从黄体中期用GnRH。进行降调后用促性腺素,尔后hCG注射。采卵后2~3天胚胎4~8个细胞时作ET。GIFT则在超声引导下取卵,经腹腔镜作精、卵移植。在月经第3天起用促性腺素促卵泡发育,阴超及血清E;监测调整用量。流产后一年内在未经刺激月经周期中的第3天用RIA或免疫法测定FSH和EZ浓度。其中6例培养污染或未生长,故分析了78例胚胎染色体,其中59例有FSH或EZ测定结果。血清FSH>15mIU/ml(RIA)或10mIU/ml(免疫法),E。>SOPg/ml(免疫法,为异常升高。结果:78例中44例胚胎染色体异常,34例正常。两组的双亲年龄,血清PRL、LH、FSH和产次均无统计学差异。胚胎染色体异常组和正常组分别有33人和26人有基础FSH和E。结果;胚胎染色体异常的患者其FSH和/或E;升高的患者19/33人,而正常的26例中升高的为7例,有显著差异,35岁以下妇女差别不显著。胚胎染色体异常类型最常见为三体?
Basal serum FSH and EZ can reflect ovarian reserve function and predict the effect of ovulation induction, the authors observed FSH / E. Whether it can predict embryonic chromosomal abnormalities at the same time. However, karyotype analysis was performed on 83 embryos in both New York and New York hospitals due to abortion or spontaneous abortion. Among them, 22 were in vitro fertilization embryo transfer, 4 in gametubular tubal transplantation, 15 in ovulation induction and artificial insemination, 5 in frozen embryo transfer, 2 in zygotes and 14 in spontaneous conception. Ovulation ovulation from the mid-luteal GnRH. Hypoglycemic with gonadotropin, followed by hCG injection. 2 to 3 days after ovulation embryos 4 to 8 cells for ET. GIFT is guided by ultrasound to take ova, laparoscopic for fine, egg transplants. On the 3rd day of menstruation with gonadotropin follicular development, overcast and serum E; monitoring the amount of adjustment. FSH and EZ concentrations were determined by RIA or immunoassay on day 3 of the unstimulated menstrual cycle within one year after abortion. Six of them were contaminated or not grown, so 78 embryos were analyzed, of which 59 had FSH or EZ results. Serum FSH> 15mIU / ml (RIA) or 10mIU / ml (immune method), E. > SOPg / ml (immunoassay, abnormal increase.Results: 44 cases of 78 cases of chromosomal abnormalities in embryos, 34 cases of normal.The two groups of parents of age, serum PRL, LH, FSH and births were no significant difference in embryos The chromosomal abnormalities group and the normal group had 33 and 26 subjects, respectively, with basal FSH and E. Results; 19/33 patients with elevated FSH and / or E in patients with embryo chromosomal abnormalities were elevated in 26 of the normal subjects Of 7 cases, there are significant differences, the difference between women under 35 years of age was not significant.Embryo chromosomal abnormalities the most common type of trisomy?