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基础激素水平在判断卵巢储备功能中的作用
引用本文:Zhao X,Zhang L,Gong S. 基础激素水平在判断卵巢储备功能中的作用[J]. 中华妇产科杂志, 1998, 33(6): 334-336
作者姓名:Zhao X  Zhang L  Gong S
作者单位:第二军医大学长征医院妇产科,济南军区总医院妇产科
摘    要:目的探讨不孕症患者基础激素水平在判断卵巢储备功能中的作用。方法采用放射免疫方法测定60例112个促排卵周期周期第2天血卵泡刺激素(FSH)、黄体生成素(LH)及雌二醇(E2)水平,B超观察卵泡发育情况,监测有无妊娠发生,分析基础激素水平与卵巢反应性、优势卵泡数目及周期妊娠率的关系。结果周期第2天血FSH≥15IU/L者,卵巢反应性差发生率高,优势卵泡数目少,周期妊娠率低。周期第2天血E2≥45ng/L者,周期妊娠率低于血E2<45ng/L者。周期第2天血LH值与周期妊娠率无关。结论周期第2天血FSH可作为判断卵巢储备功能的指标,而周期第2天血E2值对血FSH值判断卵巢储备功能有辅助作用。

关 键 词:卵巢  排卵诱导  FSH  LH  雌二醇  不育.女(雌)性

Prognostic value of basal hormone levels on ovarian reserve
Zhao X,Zhang L,Gong S. Prognostic value of basal hormone levels on ovarian reserve[J]. Chinese Journal of Obstetrics and Gynecology, 1998, 33(6): 334-336
Authors:Zhao X  Zhang L  Gong S
Affiliation:General Hospital of Jinan Command.
Abstract:OBJECTIVE: To study the prognostic value of basal hormone levels on ovarian reserve during ovulation induction. METHODS: Day 2 serum follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) levels of 112 ovulation induction cycles (60 infertile patients) were measured by radioimmunoassay. The relationship between basal hormone levels and numbers of dominant follicles and pregnancy rates were analysed. RESULTS: Day 2 serum FSH > or = 15 IU/L predicted a poor response to ovarian stimulation, with fewer dominant follicles and lower pregnancy rate, so was day 2 serum E2 > or = 45 ng/L. Day 2 serum LH level was unrelated to pregnancy rate. CONCLUSION: Day 2 FSH and E2 levels are useful in prognostic assessment of ovarian reserve.
Keywords:Ovary Ovulation induction FSH LH Estradiol Infertility   female
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