排卵监测和宫腔内人工授精时机的选择  

OVULATORY DETECTION OF SPONTANEOUS AND INDUCED OVULATORY CYCLES FOR IUI

作　　者：袁杨扬[1] 顾惠心[1] 孙海翔[1] 顾林 

机构地区：[1]扬州大学医学院附属医院生殖医学中心

出　　处：《扬州大学学报（自然科学版）》1999年第1期53-55,共3页Journal of Yangzhou University：Natural Science Edition

基　　金：扬州市科学技术发展基金

摘　　要：不孕患者３０例５０个周期阴道Ｂ超观察、尿促黄体激素（ＬＨ）测定及宫颈粘液（ＣＳ）评分联合监测排卵，择机进行宫腔内人工授精（ＩＵＩ）．观察表明：自然排卵周期联合监测可准确地预计排卵时间，ＩＵＩ２４ｈ内排卵率达８５％；克罗米酚（ＣＣ）促排卵因成熟卵泡大小差异大，且尿ＬＨ阳性率低及ＣＳ评分不典型，影响了准确掌握ＩＵＩ时机，ＩＵＩ２４ｈ内排卵率３６．４％；ＣＣ＋绒膜激素（ＨＣＧ）促排卵联合监测，根据卵泡大小决定ＨＣＧ给药时间，可较准确地预计排卵时间，ＩＵＩ２４ｈ内排卵率达６３．２％．In fifty cycles of 30 cases, ovulation were observated with detecting follciular size and urinary LH as well as cervical score (CS) for IUI. The results showed that ovulation of spontaneous cycles could be predicted with follicular size combined with level of urinary LH and CS, that ovulation rate was 85% in 24 hours after IUI. In CC induced ovulatory cycles, it wasn't easy to predict ovulation because of difference in the size of mature follicle, low level of urinary LH with its peak occured much earlier and atypical CS. The ovulation rate was 36.4% in 24 hours after IUI. In CC+HCG induced ovulatory cycles, the ovulation could be move easily predicted with follicullar size while handed on injecting HCG time. That ovulation rate was 63.2% in 24 hours after IUI.

关 键 词：宫腔内 人工授精 IUI 时机选择 排卵监测 B超 

分 类 号：R714.13[医药卫生—妇产科学] R321－33[医药卫生—临床医学]