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1、General embryology(I)(I)1.LangmansMedicalEmbryologywithSimbryoCD-ROM,LippincottWilliams&WilkinsPublishers9thEdition2.高英茂主编,组织胚胎学,全国八年制教材,人民卫生出版社,20063.邹仲之,李继承主编,组织学与胚胎学,人民卫生出版社,20084.组胚精品课程网站:OBJECTIVES1.说明受精的过程和意义。2.试述胚胎植入的定义、过程、部位以及植入后的子宫蜕膜分部。3.试述两胚层胚盘的形成过程和组成。4.三胚层胚盘的形成和初步分化。5.胎膜、蜕膜及胎盘的结构与功能。asci
2、encewhichstudytheprocessesandregulationsofdevelopmentofhumanfetus.(from1cell(zygote合子)to(5-7)x1012cells)total38weeks:preembryonicperiod(胚前期):before2weeksembryonicperiod(胚期):3-8weeksfetalperiod(胎儿期):after9weeksFertilization(受精)Definition:theprocessbywhichthemaleandfemalegametes(spermandovum)unitetogi
3、verisetozygotesite:intheampullaryregion(壶腹部)oftheoviductconditions:1)maturationofoocyte2)maturationofspermatozoa3)capacitation(获能)(获能)and acrosome reaction(顶体反应)(顶体反应)ofspermatozoacapacitationfactor:secretedbyepi.cellsofoviduct,capacityofreleasingacrosomeenzymes4)qualityandquantityofspermatozoa:2-6m
4、l,100,000,000/ml,1.5ml;or30%;orcapacityformobile70%5)meetingofspermandovumwithin24 hrsProcesses of fertilization:PhaseIPenetrationofthecoronaradiata(放射冠),acrosomalreleasePhaseIIPenetrationofthezonapellucide(透明带)ZPwithreceptorszonapellucidaspongythereleaseoflocalenzymesPhaseIIIEntrance,formationofzyg
5、oteEntryresponse1)Corticalorzonareactions-Compaction-impermeabletomoresperm2)Oocytefinishes2ndmeioticdivision3)Metabolicactivationoftheegg4)ResultsoffertilizationDiploidGeneticsexCleavageCleavage(卵裂)(卵裂)MitosisTwocellstage(30h)Morula(桑椹胚)(72h)innercellmassembryoblastoutercellrimtrophoblastsBlastocys
6、t(胚泡)(5d)BlastocoeleThecellsofmorulasecretefluidZonapellucidedisappearsBlastocyst(胚泡)(胚泡)innercellmassblastocoeletrophoblasts(滋养层)(胚泡腔)(内细胞群)Pubertymenstruation(28days)HormonalregulationGnRHFSHLHGranulosa/thecacellsEstrogensProgesteronesTheendometriumoftheuterusisinthesecretoryphaseUterusatTimeofImp
7、lantationImplantation(植入)-PassagethroughtheuterinetubeDay5Day11UterusOrientationofimplantationLocation-antorpost,fundusTrophoblastsoverlyingtheembryoblastpoleattachtotheendometriumandbegintoinvade.Processes zonapellucidedisappearpolartrophoblasttouchtheendometriumsecreteenzymesdissolvetheendometrium
8、embeddedintoendometriumcoagulationplugsealthespaceImplantationsiteNormal:antorpostwalloftheuterus,fundusAbnormal:Internalosofthecervix(placentaprevia)OvarianAbdominalTubalEctopicpregnancyendometriumdecidua:-deciduabasalis(底蜕膜)(底蜕膜)-deciduacapsularis(包蜕膜)(包蜕膜)-deciduaparietalis(壁蜕膜)(壁蜕膜)conditions:-e
9、ndometriumisinsecretoryphase-morulareachthecavityofuterusontime-zonapellucidedisappearsintimeIn vitrofertilisation体外受精联合胚胎移植技术(IVF):又称试管婴儿,是指分别将卵子与精子取出后,置于试管内使其受精,再将胚胎前体-受精卵移植回母体子宫内发育成胎儿的过程。生育年龄不孕妇女,具备下列任何一项时:1经碘油造影、腹腔镜术或手术证实,各种原因引起的盆腔粘连或输卵管阻塞。2双侧输卵管切除术后或结扎术后复通失败或不愿接受复通手术。3盆腔子宫内膜异位症,反复促排卵治疗失败。4顽固性多囊
10、卵巢综合征,经反复促排卵治疗失败。5不明原因不孕,反复促排卵治疗失败。PreimplantationGeneticDiagnosis植入前遗传学诊断(PGD)从发育到4-8细胞的胚胎中,取出一个细胞进行细胞遗传学或分子遗传学检查,再将检查结果正常的胚胎放入子宫内,以达到优生优育目的。目前主要用于已知患有遗传性疾患夫妇或高风险遗传疾患携带者(如高龄妇女)。Implantation-sinksdeeperTheoutercelllayerTrophoblastsCytotrophoblasts细胞滋养层细胞滋养层Syncytiotrophoblasts合体滋养层合体滋养层Innercellmass
11、(embryoblast)FluidcollectionamnionEpiblasts&hypoblastsBilaminarGermDisc(二胚层胚盘)(Secondweekofdevelopment)WeektwoDay9-12ImplantationCoveredtheendometrium-fibrinplugCompleteslightbulgeTrophoblastsVacuoleswithinsyncytiotrophoblasts-fuseandformlacunarnetworksUteroplacentalcircExtra-EmbryonicMesodermBtwntr
12、oph&cavitySomatic/splanchnicWeek2Day13-14TrophoblastsPrimaryvilliYolksacPrimarytosecondaryChorionicplateConnectingstalkTheBilaminarEmbryoDiscbtwnAmnion(羊膜腔)Yolksac(卵黄囊)BilaminardiscEpiblasts(上胚层)Hypoblasts(下胚层)EndoftheWeekofTwos2majorcellmassesTrophoblastsInnercellmassTrophoblastsCytotrophoblastsSyncytiotrophoblastsEmbryonicCavitiesAmnioticcavityYolksacGermDiscEpiblastsHypoblastsTHEEND!