有正常月经溢乳妇女不孕原因分析  

ANALYSIS OF THE INFERTILITY CAUSE IN WOMEN WITH NORMAL MENSTRUATION AND ABUNDANT MILK

作　　者：王永清[1] 孙淑梅[1] 李建文[1] 

机构地区：[1]天津市第三中心医院妇产科,300170

出　　处：《中国煤炭工业医学杂志》2002年第1期9-10,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的　分析有正常月经周期的溢乳妇女的不孕原因。方法　收集 1 998年 5月— 2 0 0 1年 5月我院门诊有正常月经周期、溢乳、不孕患者 60例 ,用放射免疫法测定血中PRL、FSH、LH、1 7-羟类固醇、1 7-酮类固醇、睾酮、雌二醇和孕酮的浓度和T3 、T4水平 ,用TRH试验研究腺垂体的功能 ;同时对有正常月经周期者行腹腔镜和宫腔镜检查。结果　 60名患者中 1 4例 (2 2 .2 % )PRL值增高。TRH负荷实验证实有 1 3例 (2 1 .2 % )存在着一过性高泌乳素血症 ,另外 3例甲状腺功能低下。内窥镜检查结果如下 :2 8例(46 .7% )有盆腔粘连 ,8例有盆腔炎及盆腔手术史 ,3例诊断为子宫内膜息肉。结论　有正常月经的溢乳者其不孕的内分泌原因只占2 1 .8% ,其生殖器官的病理改变是不孕的主要原因。Objective To analyze the causes for infertility in women with normal menstruation and abundant milk. Methods 60 cases of infertility in women with normal menstruation and abundant milk were collected during May 1998 and May 2001. Radioimmunology was applied to measure the concentrations of their PRL, FSH, LH, 17-hydroxysteroid, 17-ketosteroid, testosterone, estranediol, and pregnendione as well as their levels of T 3 and T 4. TRH test was done to explore their adenohypophysis. Meanwhile, the patients received examinations through laparoscope and hysteroscope. Results 14 (22.2%) had increased PRL; TRH cargo test confirmed that there was a transent hyperpralactinemia in 13 cases (21.2%), and another 3 cases were found to have low thyroid function. Under endoscope, 28 case suffered from pelvic kidney acretion, 8 had historical pelvic infection operation, and 3 cases showed endometrial polyp. Conclusion For women with normal menstruation and abundant milk, infertile cause in endocrine factors stands only 21.8 percent, while the main causes exist in other pathological lesions of the reproductive organs

关 键 词：女性 不孕症 溢乳 女性生殖器疾病 内分泌疾病 病因 正常月经 

分 类 号：R711.6[医药卫生—妇产科学]