女性不孕促排卵治疗的临床分析(1)
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[摘要] 目的 为了更好地治疗女性排卵障碍性不孕，提高不孕症的治愈率，我们对妇科内分泌疾病造成排卵障碍的不孕患者进行了针对性的治疗。方法收集2006年1月～2008年12月来我院不孕症门诊就诊的女性不孕症患者，针对多囊卵巢综合症(PCOS)、高泌乳素血症、子宫内膜异位症和不明原因的排卵障碍进行相应的内分泌治疗后，给予氯米芬加绒促性素或尿促性素加绒促性素促排卵治疗，同时阴超监测排卵。观察治疗后的妊娠率、卵巢过激发生率(OHSS)及多胎妊娠发生情况。结果 ①使用促排卵治疗患者的妊娠率显著高于未使用促排卵治疗的患者；②明确病因、采取针对性内分泌治疗病例的妊娠率，高于不明病因的病例20个百分点；③在内分泌调节治疗后，期待自然妊娠的病例中，子宫内膜异位症患者的妊娠率较其他几组偏低；④PCOS患者促排卵治疗易发生卵巢过激，妊娠率和多胎妊娠率明显增高。结论 各种女性内分泌疾病造成的排卵障碍，通过针对性治疗后，可明显提高妊娠率。
[关键词] 不孕症；排卵障碍；促排卵治疗
[中图分类号] R711.6[文献标识码] B[文章编号] 1673-9701(2011)20-33-02
Effects of Ovulation Induction Treatment on Femate Infertility
WANG Caihong
Tiantongyuan Branch of ChangpingTraditional Chinese Medicine Hospital，Beijing 102218，China
[Abstract] Objective To treat ovulatory disorder infertility better，improve the cure rate of infertility，we focused on gynecological endocrine diseases caused by ovulation disorders，female infertility patients were treated. Methods From January 2006 to December 2008 in our hospital out-patient treatment of female infertility， infertility patients，for PCOS，hyperprolactinemia，endometriosis，ovulation disorders and unexplained endocrine accordingly after treatment，given clomiphene plus HCG or HMG plus HCG induced ovulation，while transvaginal ultrasound，monitoring ovulation. Pregnancy rate were observed after treatment，the incidence of ovarian radical (OHSS)and the incidence of multiple pregnancies. Results ①Ovulation induction in patients with pregnancy rate was significantly higher than in patients treated with ovulation induction；②According to a clear cause，and take appropriate endocrine treatment of cases of pregnancy，cases of unknown etiology than 20 percentage points；③After treatment in endocrine regulation，expected in cases of natural pregnancy，endometriosis pregnancy rate in patients with lower than other groups；④PCOS ovulation induction in patients prone to excessive ovarian，and ovarian radical patients，pregnancy rate and multiple pregnancy rate was significantly higher. Conclusion Female endocrine disease caused by a variety of ovulation disorders，ovulation induction through targeted treatment can significantly improve the pregnancy rate ......
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