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用克罗米芬和促性腺激素诱导排卵后妊娠期间激素的系列测定(作者译)

[Serial determination of hormones in pregnancies following induction of ovulation with clomiphene and gonadotropins (author's transl)].

作者信息

Gerhard I, Runnebaum B

出版信息

Geburtshilfe Frauenheilkd. 1979 Mar;39(3):228-38.

PMID:437458
Abstract

The HCG, HPL, progesterone and oestriol levels in the serum were determined in 33 pregnancies following induction of ovulation with clomiphene and in 7 pregnancies following induction of ovulation with gonadotropins. During these pregnancies bleeding, premature labour and toxaemia occurred more often in women who became pregnant after induction of ovulation with clomiphene. The progesterone and oestriol levels were increased up to the 12th week of gestation, whereas the HCG and HPL levels remained normal. After induction of ovulation with gonadotropins the progesterone levels remained elevated until the 19th week of gestation whereas the levels of HCG and HPL and oestriol remained normal. The course of the pregnancy in a patient who had Meigs-syndrome after treatment with gonadotropins was presented. Our results show that the hormonal evaluation of pregnancies after induction of ovulation is best accomplished during the first three months by HCG and HPL titres and during the second half of the pregnancy according to the same criteria as in other pregnancies.

摘要

对33例用克罗米芬诱导排卵后的妊娠及7例用促性腺激素诱导排卵后的妊娠测定了血清中的人绒毛膜促性腺激素(HCG)、人胎盘催乳素(HPL)、孕酮和雌三醇水平。在这些妊娠中,用克罗米芬诱导排卵后怀孕的妇女发生出血、早产和毒血症的情况更为常见。孕酮和雌三醇水平在妊娠第12周前升高,而HCG和HPL水平保持正常。用促性腺激素诱导排卵后,孕酮水平一直升高到妊娠第19周,而HCG、HPL和雌三醇水平保持正常。介绍了1例用促性腺激素治疗后患有梅格斯综合征患者的妊娠过程。我们的结果表明,排卵诱导后妊娠的激素评估,在妊娠前三个月最好通过HCG和HPL滴度进行,在妊娠后半期则按照与其他妊娠相同的标准进行。

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