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监测尿黄体生成素峰在多囊卵巢综合征患者预防卵泡黄素化的意义
引用本文:高喜红,倪亚莉,刘珍. 监测尿黄体生成素峰在多囊卵巢综合征患者预防卵泡黄素化的意义[J]. 生殖医学杂志, 2006, 15(1): 20-21
作者姓名:高喜红  倪亚莉  刘珍
作者单位:甘肃省妇幼保健院生殖医学研究所,兰州,730050
摘    要:
目的探讨监测尿黄体生成素(LH)峰在多囊卵巢综合征(PCOS)患者预防黄素化未破裂卵泡综合征(LUFS)中的意义。方法将98例行克罗米酚(CC)促排卵的PCOS患者随机分为两组,A组于卵泡直径达18 mm时注射人绒毛膜促性腺激素(hCG),B组于尿LH峰出现时注射hCG,比较两组LUFS的发生率。结果卵泡直径达18 mm时注射hCG,LUFS发生率为31%;尿LH峰出现时注射hCG,LUFS的发生率为4%,两者有显著差异(P<0.01)。结论PCOS患者CC促排卵,在尿LH峰出现时注射hCG可明显降低LUFS的发生率。

关 键 词:多囊卵巢综合征  促排卵  黄素化未破裂卵泡综合征  黄体生成素
文章编号:1004-3845(2006)01-0020-02
收稿时间:2005-06-23
修稿时间:2005-09-30

The significance of detecting urine-luteinizing hormone surge in preventing luteinizing unruptured follicle syndrome in patients with polycystic ovary syndrome
GAO Xi-hong,NI Ya-li,LIU Zhen. The significance of detecting urine-luteinizing hormone surge in preventing luteinizing unruptured follicle syndrome in patients with polycystic ovary syndrome[J]. Journal of Reproductive Medicine, 2006, 15(1): 20-21
Authors:GAO Xi-hong  NI Ya-li  LIU Zhen
Abstract:
Objective: To assess the value of detecting urine luteinizing hormone(u-LH) surge in preventing luteinizing unruptured follicle syndrome(LUFS) in patients with polycystic ovary syndrome(PCOS) when induced ovulation with clomiphene.Methods: A prospective and comparative analysis was performed in 98 patients with PCOS.Half of the patients(group A) were administered hCG when the diameter of dominant follicle reached 18 mm,while others(group B) were administered hCG when the u-LH surge emerged.Results: The incidence of LUFS in group A was 30.06%,significantly higher than that in group B(4%)(P<0.01).Conclusion: Detecting u-LH surge and administering hCG when uLH surge emerges can greatly(decrease) the incidence of LUFS in patients with PCOS when induced ovulation with clomiphene.
Keywords:Polycystic ovary syndrome   Induced ovulation   Luteinizing unruptured follicle syndrome   Luteinizing hormone
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