›› 2014, Vol. 35 ›› Issue (9): 1022-1022.

• 论文 • 上一篇    下一篇

激素调整在复发性流产保胎治疗中的应用

商微;王蔼明;吕立波;张雷;舒明明;赵勇   

  1. 中国人民解放军海军总医院妇产科辅助生殖医学中心,北京,100048%河北医科大学基础医学院组织胚胎学教研室,河北 石家庄,050017
  • 发布日期:2014-09-25

ZHU Chunhua;WEN Ya;WANG Lina;JI Hui;YANG Yi;LIU Ying

SHANG Wei;WANG Aiming;LV Libo;ZHANG Lei;SHU Mingming;ZHAO Yong   

  • Published:2014-09-25

摘要: 目的:通过排卵后即开始对复发性流产患者的激素水平进行调整,探讨一种安全、高效、实用的临床保胎方案。方法选取复发性流产患者172例。所有患者自然流产均发生在孕12周或孕12周之前,并均有孕酮保胎失败史。排卵后开始根据测定的激素水平给予相应的外源性雌激素、孕激素和(或)促黄体生成素进行保胎治疗并定期检测激素水平,看到胎心时开始逐渐减量,观察至孕12周,随访至出生后3个月。结果复发性流产患者孕早期保胎成功率为95.32%。结论从排卵后即开始有针对性地进行激素调整保胎治疗可以提高孕早期保胎成功率。

关键词: 流产, 习惯性, 激素替代疗法, 治疗

Abstract: OcjectiVe To discuss a safe,efficient and practical clinical miscarriage plan,by adjusting the hormone levels of recurrent spontaneous abortion patients after ovulation. Methods The study enrolled 171 recurrent spontaneous abortion patients and all patients with spontaneous abortion occurred before 12 weeks or 12 weeks of pregnancy,and had a history of progesterone abortion failure. On the basis of the determined hormone levels,appropriate eXternally estrogen,progesterone and luteinizing hormone were used to prevent miscarriage after ovulation and the hormone levels were determined periodically. The dose began to reduce gradually when the fetal heart was observed until 12 weeks of pregnancy. Follow up lasted till three months after birth. Results Patients with recurrent miscarriage in early pregnancy miscarriage got the success rate 95. 32%by the treatment. Conclusion Targeted to adjustment hormone levels after ovulation can enhance the early stages of miscarriages success rate.

Key words: abortion, habitual, hormone replacement therapy, therapy

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