目的观察多囊卵巢综合征（PCOS）患者口服来曲唑促排卵后行尿黄体生成素(LH)试纸自我监测与阴道超声监测排卵的效果。

方法募集PCOS患者56例，于月经第3～7天每日给予来曲唑1片（2.5mg/d)行促排卵。根据地域分布确定为尿LH试纸自我监测组(试纸组，27例)和阴道超声监测组(B超组，29例)。均于月经第10天开始监测排卵。适时指导同房。后期均给予黄体支持10d。停药7d观察是否月经来潮，医院抽血查HCG，判断是否妊娠。

结果两组的年龄、体重指数（BMI）、不育年限均无统计学差异。B超组29例共行77周期，试纸组27例共行68周期。B超组的排卵率与累积妊娠率分别为77.92%和58.62%，高于试纸组（64.7%、40.74%），但差异无统计学意义。B超组的总周期妊娠率（22.07%）与尿LH试纸组（16.17%）比较，差异亦无统计学意义。

结论PCOS患者中用来曲唑促排卵后行尿LH试纸自我监测与超声监测排卵有同等的效果。

多囊卵巢综合征；黄体生成素试纸；阴道超声；排卵；来曲唑

CompparisionefficacybetweenurinaryL.Handtransvaginalultrasoundformoniteringovulation

WANGGai1,2,ZHAOYong2,LIULingling2,WANGAi-ming2*

1.AnhuiMedicalUniversity,Hefei

2.DepartmentofObstetricsGynecology,NavyGeneralHospital,Beijing

Objective:Comparetotheeffectofself-monitoringbyluteinizinghormrcourse(LH)urineovulationtestormonitoringovulationbytransvaginalultrasoundinpolycysticovarysyndrome(PCOS)patientstreatedwithoralletrozole.

Methods:Thearomataseinhibitorletrozolewasgivenorallyinadoseof2.5mgondays3–7ofmenstrualcycleinthePCOSpatients.ThePCOSpatientsweredividedintotwogroups:theLHtestgroupandthetransvaginalultrasoundgroup.Allmonitoringovulationstartedfromthe10thdayofthemenstrualcycle.Eachwomanwasaskedtohavetimedintercourseinduecourse.Afterovulationwasobserved,thepatientsweregivenlutealphasesupportfor10days.Seeifthemenstruating

cameafterthedrugwasstoppedfor7days,thendeterminingthepregnancywhetherornotbyapregnancytestpaperorcheckingbloodHCGinthehospital.

Results:Therewerenostatisticallysignificantdifferenceinage,durationofinfertility,BMIbetweeninthetwogroup.Theovulationrateandcumulative

pregnancyratewassignificantlyhigherinthegroupoftransvaginalultrasound(77.92%,58.62%)







































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