血清AMH在超促排卵周期中預測卵巢反應性的臨床研究.pdf

1、新疆醫(yī)科大學碩士學位論文血清AMH在超促排卵周期中預測卵巢反應性的臨床研究姓名：劉陽申請學位級別：碩士專業(yè)：婦產(chǎn)科學指導教師：蔡霞201004新疆醫(yī)科大學醫(yī)學碩士學位論文新疆醫(yī)科大學醫(yī)學碩士學位論文—2—TheClinicalResearchofSerumAntiMullerianHmoneMeasurementinPredictingOvarianResponseinControlledOvarianHyperstimulationP

2、ostgraduate:LiuYangSupervis:Prof.CaiXiaAbstractObjective:ToexplethevalueofserumantiMullerianmeasurementinpredictingovarianresponseininfertilepatientsundergoingcontrolledovarianhyperstimulation(COH)fAssistedReproductiveTe

3、chnology(ART).Methods:Atotalof68patientsundergoingtheircyclesofIVFICSItreatmentwerestudied.AccdingtonumberofoocytesretrievedpeakE2concentrationthe68patientsweredividedintothreegroups:poovarianresponsegroup(groupA)nmalres

4、ponsegroup(groupB)highresponsegroup(groupC).Serumestradiol(E2)progesterone(P)antiMullerianhmone(AMH)serumlevelsweredetectedonday2ofmenstruation(basallevel)HCGinjectiondaythroughtheacteristicsofthetreatmentcycleAMHE2Pleve

5、lswereanalyzed.AccdingtotheoutcomeofpregnanttheETpatientsweredividedintotwogroups:pregnantgroupnonpregnantgroupthancomparingthedifferencesbetweenthem.Results:(1)InthethreegroupsthedatawhichmeansmedianbasalserumAMHlevelme

6、dianserumAMHlevelonHCGinjectiondayarealldifferent(PgroupBgroupA).(2)ItshowsthereispositivecrelationbetweenoocytesretrievedbasalAMHAMHofHCGinjectiondayAFCprogesteroneofHCGinjectiondaybutthenegativecrelationbetweenoocytesr

7、etrievedbasalFSHthequantityofGn.(3)ThereispositivecrelationbetweenOHSSthequantityofGnAFCD2AMHHCGE2HCGAMHbutthenegativecrelationbetweenOHSSoocytesretrievedbasalFSH.(4)Therearedifferencesbetweengoodembryonumbersinthepregna

8、ntgroupnonpregantgroup.Conclusions:(1)basalserumAMHserumAMHofHCGinjectiondayAFCarethebettermarksofovarianresponse(2)basalserumAMHserumAMHofHCGinjectiondayE2ofHCGinjectiondaymayofferaccuratepredictionoftheOHSS(3)serumAMHc