摘要
目的探讨各种促排卵方案对子宫内膜的影响以期望在促排卵过程中尽早使子宫内膜与卵细胞发育同步化从而提高妊娠率。对象99例119个周期不孕症患者,其中35个自然周期,44个克罗米芬促排卵周期,35个克罗米芬+HMG+HCG促排卵周期,5个HMG+HCG促排卵周期。方法从月经第8天开始监测卵泡发育、子宫内膜厚度。结果克罗米芬促排卵周期内膜发育不良的比例显著高于自然周期及其它药物促排卵周期。不论自然周期或药物促排卵周期内膜类型均以A型为主(57.98%)。妊娠周期排卵日平均内膜厚度为10.66±1.13mm,A、B两种类型内膜妊娠率无显著差别,C型内膜妊娠率显著低于A、B两型。
To study endo metrial thickness and echopatterns on induced ovulatory cycles
in order to establish endometrium synchronization with the development of follicle.99
cases and 119 cycles of infertile women were studied.35 were natural cycles.44 cycle
s ovulation were induced by clomiphene citrate(c.c.)and another 35 cycles by
c.c.+HMG+HCG,5 cycles by HMG+HCG.Follicle development,endometrial thickness and
echopatterns were detected by transvaginal ultrasound from cycle day 8 to ovulation
day.Results:Endometrium was mal development in clomiphene inducing ovulation cycles.
A type echopattern was most common in both natural and induced ovulation cycles.In
pregnant cases,the mean endometrium thickness were 10 66±1 13mm on ovulation
day;the pregnant rate was not different in both A and B echopattern while C pattern had
lower pregnant rate.
出处
《福建医药杂志》
CAS
1999年第1期4-5,共2页
Fujian Medical Journal