CAJ | 학술논문

目的探讨促排卵周期中不同时期性激素水平对排卵结局的影响.方法选择自然周期有排卵障碍的患者使用克罗米芬(CC)+绒促性素(HCG)促排,同时在月经周期的不同时间测定性激素促卵泡成熟激素(FSH)、黄体生成激素(LH)、雌二醇(E2)、孕酮(P)、垂体泌乳素(PRL)、睾酮(T)六项,最后观察患者的排卵结局.结果 99例促排患者中正常排卵58例(58.6％),为A组；发生卵泡未破裂黄素化综合征(LUFS)患者41例(41.4％),为B组.两组患者年龄、不孕年限、体重、身高、体重指数(BMI)进行统计分析,差异无统计学意义(P＞0.05).B组与A组比较:在月经第三日的E2和P、在月经第10日的FSH、在卵泡成熟日的LH均较低,差异有统计学意义(P＜0.05).结论性激素在促排卵的结局中起到很重要的作用.
목적 탐토촉배란주기중불동시기성격소수평대배란결국적영향.방법 선택자연주기유배란장애적환자사용극라미분(CC)+융촉성소(HCG)촉배,동시재월경주기적불동시간측정성격소촉란포성숙격소(FSH)、황체생성격소(LH)、자이순(E2)、잉동(P)、수체비유소(PRL)、고동(T)륙항,최후관찰환자적배란결국.결과 99례촉배환자중정상배란58례(58.6％),위A조；발생란포미파렬황소화종합정(LUFS)환자41례(41.4％),위B조.량조환자년령、불잉년한、체중、신고、체중지수(BMI)진행통계분석,차이무통계학의의(P＞0.05).B조여A조비교:재월경제삼일적E2화P、재월경제10일적FSH、재란포성숙일적LH균교저,차이유통계학의의(P＜0.05).결론 성격소재촉배란적결국중기도흔중요적작용.
Objective To discuss the influence of sex hormone levels on ovulation outcome during different periods in both luteinized unruptured follicle syndrome (LUFS) cycle patients and normal ovulatory cycle patients.Methods Treating the infertile women with ovulatory dysfunction by taking CC+HCG,the levels of the serum follicle stimulating hormone (FSH),Luteinizing hormone (LH),estradiol (E2),progesterone (P),prolactin (PRL),testosterone (T) were measured respectively on the 3rd day (C3),the 10th day (C10),follicle maturity day (CM).Ovulation was surveyed with transvaginal ultrasonography (TVS) at the same time.Group A was defined as ovulation after induced ovulation while group B was defined as LUFS after induced ovulation.Results The levels of E2 and P on C3 day,FSH on C 10 day,LH on CM day of group B were all significantly lower than those of group A (P＜0.05).Conclusion Sex hormones play very important roles in LUFS occurring.