黄体功能不全所致反复早期流产65例分析

Clinical Analysis of 65 Cases with Luteal Plase Defect Cause Early Recurrent Spontaneous Abortion

目的 探讨黄体功能不全 (LPD)的诊断及治疗。 方法 通过对 6 5例反复早期流产病人子宫内膜病理学检查与测基础体温 (BBT)、阴道B超监测卵泡及子宫内膜进行对照分析 ,并针对 3组不同情况分别进行治疗。结果 病理学检查结果与测BBT、阴道B超检查结果差异不大。对 6 5例患者分别采用促排卵、增加子宫内膜雌、孕激素受体及健黄体等治疗 ,使妊娠继续 5 2例 ,治愈率达 73.33%～ 82 .76 %。 结论 BBT联合阴道B超对诊断LPD有一定临床价值。针对不同病因对症治疗 。

Objective To investigate the etiological diagnosis and treatment methods of luteal plase defect. Methods Through checking and examining pathology, basic body temperature and transvaginal sonography to 65 patients carried on contrast analysis. Treatment was given to the three different groups separately. Results Pathology inspection result, examining basic body temperature and transvaginal sonography are dealt with by statistics. There is no remarkable difference ( P >0.05). Several treatments such as promoting ovulation, increasing endometrial receptors of estrogen and progesterone or enhancing corpus luteum were performed differently in 65 paients,and pregnancy could continue in 52 cases. The cure rate reached 73.33% to 82.76%. Conclusion Basic body temperature detection combining transvaginal sonography is a certain clinical value for the diagnosis of luteal plase defect. Different treatment for the different cause could decrease the incidence of spontaneous abortion.