多囊卵巢综合征不孕患者排卵监测的回顾性分析

Retrospective Analysis on Ovulation Monitoring in the Infertility Patients of Polycystic Ovary Syndrome

目的探寻多囊卵巢综合征（polyeystie ovarian syndrome，PCOS）不孕患者观察排卵期的最佳方法。方法回顾性分析2011年9月-2012年9月于我院就诊的151例痰湿阻滞型PCOS不孕患者，根据监测排卵方式的不同随机分为试纸监测组（58例）、B超监测组（52例）和自我检测组（41例），分析三种观测排卵指导受孕的成功率。结果试纸监测指导同房的受孕率低于B超监测排卵的受孕率，两组比较，差异无统计学意义（P〉0．05）。试纸监测、B超监测排卵指导同房的受孕率均低于自我检测下同房的受孕率，且差异均有统计学意义（P〈0．05）。结论PCOS不孕患者采用试纸和B超监测卵泡需谨慎，根据宫颈黏液同房对PCOS不孕患者尤为合适。

Objective To explore the best method for the ovulation monitoring in the infertility of polycystic ovary syndrome（PCOS）. Methods The retrospective analysis was conducted in 151 PCOS infer- tility patients ,differentiated as blockage by phlegm and damp, visited the hospitals from September 2011 to September 2012. According to the different methods of ovulation monitoring, they were randomized into a test - paper - monitoring group （ 58 cases）, an ultrasonic - B - monitory group （ 52 cases ） and a self - test group （41 cases）. The successful pregnancy rates were analyzed under the guide of the three monitoring methods. Results The pregnancy rate under the test - paper - monitoring was lower than that under the ultrasonic - B - monitoring,indicating no statistical difference in comparison （ P 〉 0.05 ）. The pregnancy rates under the test - paper - monitoring and the ultrasonic - B - monitory were lower than the rate under the self - test,indi- cating the significant difference （P 〈 0.05 ）. Conclusion PCOS infertility patients should adopt the test pa- per and the ultrasonic - B methods for follicle monitoring carefully. It is particularly appropriate for PCOS in- fertility patients to take the situation of the cervical mucus into consideration.