排卵障碍性不孕症治疗动态疗效153例研究

Study on Curative Effect of 153 Cases of Orulatory Dysfunction

目的 通过腹部超声监测卵泡的大小 ,预测排卵 ,提供受精的最佳时间 ,从而提高不孕症的治愈率。方法 用克罗米芬加HCG促排卵 ,加用腹部超声监测卵泡 ,再配合宫颈粘液评分基础体温测定。结果 153例排卵障碍患者中 ,促排卵成功 10 4例 ,排卵失败 4 9例 ,10 4例中有排卵包括轻、中度卵巢过度刺激综合征9例 ,并发现排卵多发生在HCG肌注 2 4～ 4 8小时内 ,排卵失败 4 9例中 ,卵泡囊肿 4例 ,卵泡黄素化 6例 ,卵泡闭锁 13例 ,多卵泡卵巢 18例 ,卵巢早衰 2例 ,卵泡无反应 6例。结论 克罗米芬加HCG可诱导单个或多个卵泡发育 ,腹部超声监测卵泡大小可提供精子与卵子结合的最佳时间。

Objective To examine orulution and improve the best time of fertivization and increase cure rate by altrasonography cc and BBT.Methods Clomiphene and HCG were used to promote orulatory combined with altrasonography examination.Results 153 patients disognosed orulatory dysfunction involved 104 cases succeeding and 49 cases failed. The former involved 9 cases who had orarian by perstimnlation syndrome.The orulatory time was in 24～48 hours after the treatment.The latter had 4 cases having oraricmsyst and 9 cases having laternization condusiaves.Conclusion Clomiphene and HCG can induce one and more orarian fruides to orulate.The examination by altrasonography can provide the best time of fertivezation.