文档介绍：B超在不孕症中监测卵泡发育的临床价值
(作者:___________单位: ___________邮编: ___________)
【摘要】目的:探讨B超在不孕症监测中应用的临床价值。方法:采取50例不孕症妇女的121个月经周期进行B超、尿LH峰值、宫颈黏液评分及基础体温监测排卵。结果:121个月经周期的监测中发现尿LH出现峰值为116,准确率为96%,且与超声监测提示的时间基本一致。结论:尿LH峰值对排卵预测有很好的准确性,和B超监测相结合,可简便而迅速、准确地预测排卵,从而指导计划生育,掌握受孕时机并探讨各项指标的相关性及临床价值。
【关键词】不孕症;超声检查;基础体温;尿LH;宫颈黏液
[ABSTRACT] Objective: To explore clinic value of B ultrasound examination in monitoring follicle development of infertile patients. Methods: Selected 50 infertile cases. Employed B ultrasonic examination, determined level in urine, evaluated cervical mucus and monitored ovulation based on basic temperature for 121 menstrual cycles. Results: The result showed 116 cases had LH peak in urine, with accuracy rate as 96%, which consisted with ultrasonic examination. Conclusion: LH peak level in urine is valuable in anticipating ovulation. Combined with B
ultrasonic examination, it can forecast ovulation swiftly and accurately to guide the family planning, seize the best chance for pregnancy and explore the relationship of various indexes and clinic value.
[KEY WORDS] Infertility; Ultrasonic examination; Basic temperature; LH in urine; Cervical mucus
不孕症的原因有多种,其中因排卵障碍引起不孕的因素约占15%~20%。以往对卵泡发育情况常用测量基础体温及查血、尿中激素水平来估计排卵时间[1]。如何精确地观测卵泡发育及排卵日期,一直是妇产科临床所关注的重要课题。我们对50例不孕症妇女的121个月经周期进行了B超、尿LH峰值、宫颈黏液评分及基础体温监测排卵,并探讨各项指标的相关性及临床价值。
1 资料与方法
监测对象
本组50例不孕妇女均经各种检查已排除是因男性不孕因素,均有周期性月经。年龄2