促排卵周期尿β-LH半定量监测与排卵时间的探讨

???????!Q?! ??j ! 鲞?! ??Q?!?』?????! ??M?鲢?』?!：?! !：!?：≥2：?! ：! ? ??????| 3?LH????????????? ??? 【??】 ????????????????(B?LH)??????????????????? ????。?? ???8?LH??????????????(LH)?，???????至????? ?120????????I ?( 24 h???)，Ⅱ?( 24?48 h)，m?( 48?72 h) ?IV?(???????? ???????)，?????????????。?? I、Ⅱ、Ⅲ、I V????67、29、15、9???，I? ?55．83％，I ??B?LH?????????( P<0．01)。?? ????B?LH????????? ??????????????。 【???】???；?B?LH；???? The r el at i onshi p be t ween t he ur ine l ut e i ni z i ng hor mone l eveI and t he ovul at ing t i me i n t he con- t r ol l e d ovar i an hyper s t imul at i on JUXi u?qi ng．Cent e r Hospi t a l of Tengzhou，Tengzhou 277500，Chi na 【Abs t ra ct】 Obj ect i ve To est i mat e t he pr ec i s e ovul at i ng t i me and a rr ange t he t ime f or concept i on accordi ng t o t he l eve l s of ur i ne l u t ei n i zi ng hormone (LH)．Met hods One hundr ed ar d t wenty cycl e s of cont ro l l e d ovar i an hyper st imul a t i on wer e di vi ded i nt o four groups accor di ng t o t he t i me di f fe re nce s f rom U- r i ne examed．The LH val ue s i n ur i ne wer e de t ect ed be for e ovul at i on．The f ol l icl es i n gr oup 1 wer e r upt ur ed wi t hi n 24 hours af t er ur i ne drawn，and groupsⅡ，Ⅲwere 48，72 hour s．The f ol l icel s unr uptur ed and belonged t o l ut emi zi ng unr uptur ed f ol li cl e syndrome(LUFS) were group I V．Dat a among t hes e groups were anal yzed st at i st i cal l y．Resu l t s gr oup I ，I I ，l l I，1V were 67，29，15，9 cyc l es re spec t i vel y．Gr oup 1 was 55．83 per cent? age．The LH l evel i n gr oup 1 was hi ghe r t han t hat i n ot he r groups s i gni f i cant l y( P<0．01)．Concl us i ons The de t e ct i on of uri ne LH va l ue be for e ovul a t i on i s i n f avor of es t i mat i ng t i me f or concept i on． 【Key words】 Cont r ol l ed ovari an hypers t imul at i on；Ur i ne l ut ei ni zi ng hormone；Ovul at i ng t ime ????????，??????????，?? ??、??I?????，???2008?1???，?? ??????????????????( 8?LH) ?????，????B?????????，?? ??????： 1????? 1．1????：?2008?1?至2009?6???? ??????????????102??120??? ???。????22?40?，??( 29．2?4．4) ?， ????1?】5?，??(5．2?2．4) ?。102??? ?????????????至????????。 ?????3?5??????????????? ???(PRL)、?????(FSH)、?????( LH)、 ???( E，)、??( T)。 1．2?????、??????13?LH????：? ?????????(CC)、???(LE)，????? (HMG)?cc+HMG、LE+HMG，?????3?5? ? ???????????????? ???? DOI：IO．3760／cma． j ．i s sn．1674?4756．5010．14．016 ????：277500???????????? ?33? ????。??????10??????B???? ?????，?????B?????????。?? ???????14 mi l l ?，??????13?LH?? ???(?????????????????)，?? ????4?8????1?，?????????，? ?B?LH?4?6 h?????????。????? ???18?24 mm?，???B?LH?、?????? ?????????，???????????(HCG) 10 000 U????，??B?????????，?? ???????????????( IUI )?????。 ?????????，14 d??HCG??????，B ?????????????????????。 1．3?LH??：???HCG?????30??? ??LH??，????B?LH??????。 1．4??：???????B?LH????至?? ??????????????：I?(????? 24?????)，l I?(24?48 h) ，UI?( 48?72 h)? Ⅳ?(?????????????????)。 1．5??? ?：??SPSS 11．5????，?? ? ??? ????(??s)，??????t??，? ?34? ??????!Q! !?! ??! ! 鲞?! ?????』?! ?!???????』! ! ! ：2Q!Q：!?：j ! ：?：!? ????X2??，P0．05)。??1。 ?1?????????????( i ?s) 2．2???p?LH?????：??p?LH??? ?????4??：?B?LH<10 U／L，10 U／L18 mi l l?，??? 30％???。????LH??????????? HCG。???8?LH??????????LH?? ??，??LH??????，?????????? ???HCG，??LH?????，???????? ???????HCG????。??B?????， ?????????HCG?????。 ???????B?LH?????????LH ?，???????LH??， (??36?) ?36? ??????! | ?!Q?2??i ! 鲞?! ??￡???!{????????! ?』?Y：?!Q，! ?：j Z：?：!? ???????????????????，??? ?????，?????、?????60????? ?????????????????。????? ?????????，???、????、?????， ????????，?????????????? ??，????、??????，????。???? ??????????，???????????? ??(???、?????????) ，?????? ??，???B???，?????????CT?? ????????。?????????????? ?????????????，?????????， ???????，???????，??????? ?、??????，??????，???????? ??????，??????????、????，? ??????。 ?????????????，??????，? ???????????????，?????、? ?、?????、??????，???????营? ????。??????????、??，????? ????，???????????( 7．9％)，??? ???????????，??????????? 致?????????( 22．2％)、????? ( 16．7％)，????????致HJ。??????? ????、???、???、????<3 cm???? ??????????????????????? ??????，?????????????，?至? ???????????????，??????? ?至????，???2?3?，??????22?? ??2l?，??1?。 ???????????????????? ?，?????????????????，??? CT????????(?)??????????? ????????【5 J。??48????????，45 ???，??3?????????????，??? ????，???????????????，??? ???????????????????【6。】。? ?????????(45／48)，????????? ?????????????????????，? ??????????????、???????? ?。??????????????，??4??? ????????，2?????????，???? ???、????????、??????、???? ??、???????????????????? ??，?????????，??????。 ????，?????????????、??? ?????，???????????????，?? ?????????????????(?)???? ???，????，????????????。?? ???????，???????????????? ????。??，?????????，?????? ??、????????????????????? ??????，??????????????。 ???? 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