LH半定量试纸及B超监测排卵的临床观察

Clinical Value of Half Fix Quantity Test Paper of LH and Ultrosonic Monitoring for Ovulation

目的:不孕症患者监测排卵时,通过检测尿黄体生成素(LH)值,同时B超监测卵泡发育情况,并以测基础体温(BBT)为对照,探讨LH值在监测排卵中的准确性及临床意义.方法:不孕症病人41人,年龄为24～39岁,进行了46个周期监测.监测基础体温;于月经第10天开始进行B超及尿LH排卵监测,每天1次,直到排卵或确定无排卵时停止.结果:有排卵者15人,LH峰值为50～100mIU/mL,无排卵者24人,LH值多徘徊在0～10mIU/mL之间,卵泡黄素化不排卵综合征(luteinized unruptured follicles,LUFs)7人,尿LH缓慢的增加,并迟迟不下降.结论:(1)尿LH半定量试纸可较准确的预测排卵的时间;(2)排卵前1 d尿LH突然上升,上升≥50mIU/mL后,24h左右排卵.当尿LH上升缓慢并维持3d以上,应考虑为LUFs综合征可能,可配合B超卵泡≥2 cm后,继续长大;(3)尿LH半定量试纸监测排卵有较好的广阔的应用前景.

Object： To monitor ovulation through examining the value of LH in urine and observing follicular development, which were compared to the measure of basic temperature to find out the clinical significance and veracity monitoring ovulation by test paper of LH . Methods： 41 infertility women from 24 to 39 years were monitored 46 periods, including examining basic temperature from the 1st day in mense, inspecting ovulation with test paper of LH and ultrasonography once a day from the 10th day in mense until ovula- tion or ensured no ovulation. Results： 15 cases with ovulation, peak value of LH from 50 to 100 mIU/mL. 24 cases without ovulation, the value of LH from 0 to 10 mIU/mL. 7 cases of lufs syndrome, the value of LH laggardly increased and slowly descend. Conclusion： （1） Half fix quantity test paper for LH can exact forecast the time of ovulation. （2） When the value of LH abruptly rises at the day before ovulation, laggardly increases and maintains for 3 days, lufs syndrome should be considered. （3） Half fix quantity test paper for LH have a better foreground for application.