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为确定在自然未刺激周期中用经腹超声测定子宫内膜厚度和组织学日期之间的关系,63人参加本研究。全部经腹腔镜检查,其中不育59例和绝育4例。63例月经周期均规律(25~35天)。在全麻下作腹腔镜检前16~20小时用经腹超声测定子宫内膜厚度,同时取子宫内膜活检以作组织学评价。本研究增加的内容是比较在自然周期、克罗米芬治疗周期或人工周期的黄体中期的子宫内膜厚度,共62例,其中18例有自然排卵周期,17例在研究周期的第2至6天每天给与50mg克罗米芬,27例不明原因卵巢早衰患者接受标准激素替代治疗。在子宫内膜组织取样(活检)前立即作宫内膜超声测定。所有子宫内膜活检标本均由一个观察者根据传
To determine the relationship between endometrial thickness measured by transabdominal sonography and the date of histology in a naturally unstimulated period, 63 participants participated in the study. All by laparoscopy, of which 59 cases of infertility and sterilization in 4 cases. 63 cases of menstrual cycle are regular (25 to 35 days). Under general anesthesia for laparoscopic 16 to 20 hours before transabdominal sonography to determine the thickness of the endometrium, while taking endometrial biopsy for histological evaluation. In this study, we compared the endometrial thickness of mid-corpus luteum with natural period, clomiphene citrate period, or artificial period, of which 62 had spontaneous ovulation and 17 during the second to sixth days of the study period A daily dose of 50 mg of clomiphene citrate, 27 patients with unexplained premature ovarian failure received standard hormone replacement therapy. Endometrial ultrasound was performed immediately prior to endometrial sampling (biopsy). All endometrial biopsy specimens were sent by one observer