小卵泡排卵致不孕症69例临床观察

Clinical Observation on 69 Infertile Women Ovulated with Small Follicular Ovulation

目的探讨小卵泡排卵的诊断及治疗方法。方法 回顾性分析69例小卵泡排卵患者B超监测卵泡发育情况,并对其进行周期性促排卵治疗。结果69例患者均进行了2个周期以上的监测,重复出现小卵泡排卵的56例,重复出现率81.16%(56/69)。经促排卵药物治疗后临床妊娠率46.03%(29/63),周期妊娠率为23.02%(29/126)。结论小卵泡排卵是造成不孕的主要原因之一。B超监测卵泡发育情况是诊断小卵泡排卵的主要方法,促排卵是治疗小卵泡排卵所致不孕症的有效方法。

Objective To explore the clinical diagnosis and therapy of infertile women ovulated with small follicle（OSF）. Methods Sixty-nine infertile women caused by OSF were analyzed retrospectively.Transvaginal ultrosonography was used to monitor the follicular development and drug ovulation facilitation for them. Results Fifty-six patients respected OSF during nature cycles.After drug ovulation facilitation,the clinical pregnancy rate was 46.03%（29/63） and the cycle pregnancy rate was 23.02%（29/126）. Conclusions OSF might be a cause of infertility.Transvaginal ultrosonography is a major diagnostic method.Drug ovulation facilitation is an effective therapy for OSF patients.