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现代临床医学发展迅速,诊断和治疗方法日新月异。妇科内分泌疾病,如多囊卵巢综合征(PCOS)、月经紊乱、无排卵和不孕症患者明显增多,这些患者来就诊的临床表现各异,要求不同。妇科医生要在正确诊断的基础上,给予进一步的治疗,其中非常重要的是促排卵和排卵监测。但是监测排卵不仅是作B超检查,还有基础体温测定、激素测定、宫颈粘液评分等;促排卵药物的应用有严格的选择和方案。本期专题将介绍如何正确使用常用的促排卵药(如氯米芬)和较新的药(如来曲唑)及各种用药方案,排卵监测的各种方法以及应用促排卵药物的安全性等。虽然有些内容是较基本的知识和技能,但十分重要,在临床中正确应用才能达到促排卵和监测排卵的目的。我们对此一一作探讨,希望能对临床医生的工作给予有益的参考。
The rapid development of modern clinical medicine, diagnosis and treatment with each passing day. Gynecological endocrine diseases, such as polycystic ovary syndrome (PCOS), menstrual disorders, anovulatory and infertility patients was significantly increased, the clinical presentation of these patients come to different, different requirements. Gynecologists should be based on the correct diagnosis, given further treatment, of which it is very important to promote ovulation and ovulation monitoring. However, monitoring of ovulation is not only for B-ultrasound, as well as basic temperature measurement, hormone determination, cervical mucus score; ovulation induction drugs have strict options and programs. This issue will introduce how to correctly use commonly used ovulation drugs (such as clomiphene citrate) and newer drugs (such as letrozole) and a variety of drug programs, ovulation monitoring methods and the application of ovulation induction drug safety . Although some of the content is more basic knowledge and skills, but it is very important that the correct application in clinical can achieve ovulation and ovulation monitoring purposes. We discuss this one by one, hoping to give clinicians a useful reference.